Erectile dysfunction
During sexual arousal (such as touching a woman's body or watching adult films), if the penis releases a significant amount of clear fluid and then becomes unable to achieve an erection for intercourse, this could be due to several factors, including psychological issues, anxiety, or a temporary physiological response.
It's important to note that the presence of morning erections suggests that there are no underlying organic issues.
As for shockwave therapy, it is typically used for specific erectile dysfunction conditions, and since your doctor has indicated that there are no organic problems, it may not be necessary.
It would be best to discuss your symptoms further with a healthcare professional who specializes in sexual health to determine the most appropriate course of action.
Mr. Huang, 50~59 year old female. Ask Date: 2021/01/13
Dr. Cai Zhuorong reply Urology
The mechanism of shockwave therapy involves increased angiogenesis and hyperemia, with approximately 50% of patients responding well to shockwave treatment.
If you do not have issues with erectile hyperemia, you may consider other treatment options.
Reply Date: 2021/01/13
More Info
Erection issues can be complex and multifactorial, often involving both physical and psychological components. Based on your description, it seems you are experiencing a situation where sexual arousal leads to the secretion of clear fluid from the penis, but you are unable to achieve an erection sufficient for intercourse. This phenomenon can be attributed to several potential causes.
Firstly, the clear fluid you are experiencing is likely pre-ejaculatory fluid, which is produced by the Cowper's glands. This fluid serves to lubricate the urethra and neutralize acidity, but its presence does not necessarily correlate with the ability to achieve or maintain an erection. The fact that you have been evaluated by a doctor and found to have no organic issues, along with the presence of morning erections, suggests that your erectile dysfunction may not be due to a physical problem.
Psychological factors can play a significant role in erectile function. Anxiety, stress, or performance pressure can inhibit the ability to achieve an erection, even in the presence of sexual arousal. This is sometimes referred to as "psychogenic erectile dysfunction." If you find that your inability to maintain an erection occurs primarily in specific situations, such as during sexual activity with a partner or while watching adult content, it may be beneficial to explore these psychological aspects further.
Additionally, lifestyle factors such as fatigue, substance use (including alcohol and recreational drugs), and overall health can impact erectile function. It's important to consider whether any recent changes in your life may be contributing to your current situation.
As for treatment options, there are several avenues you might explore:
1. Counseling or Therapy: If psychological factors are suspected, speaking with a therapist who specializes in sexual health can be beneficial. Cognitive-behavioral therapy (CBT) can help address anxiety and performance issues.
2. Lifestyle Modifications: Improving overall health through regular exercise, a balanced diet, and reducing stress can have a positive impact on erectile function.
3. Medications: If psychological interventions do not yield results, medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) may be prescribed to help achieve and maintain an erection.
4. Shockwave Therapy: This is a newer treatment option that uses acoustic waves to improve blood flow to the penis. While some studies suggest it may be effective for certain types of erectile dysfunction, it is typically more beneficial for those with vascular issues rather than purely psychological causes.
5. Communication with Partner: Open discussions with your partner about your concerns can alleviate some of the pressure you may feel during intimate moments.
In conclusion, while your situation may not warrant shockwave therapy at this stage, it is essential to address both the physical and psychological aspects of erectile dysfunction. Consulting with a healthcare provider who specializes in sexual health can provide you with tailored advice and treatment options based on your specific circumstances. Remember, you are not alone in this, and many men experience similar challenges. Seeking help is a positive step towards finding a solution.
Similar Q&A
Addressing Erectile Dysfunction: Causes, Treatments, and Concerns
Hello Doctor, since last August, I have been experiencing issues with insufficient rigidity during sexual intercourse, and the sensitivity during erection has become quite dull. I can still complete the act as long as there is continuous stimulation, but if I get distracted, I lo...
Dr. Xu Wencang reply Urology
The test results are acceptable. You can follow the physician's recommendations for treatment for a period of time, and you should gradually recover.[Read More] Addressing Erectile Dysfunction: Causes, Treatments, and Concerns
Understanding Erectile Dysfunction: Causes, Treatments, and Concerns
Hello Doctor: A couple of months ago, I suddenly experienced erectile difficulties. Initially, I could achieve an erection, but often pre-ejaculate fluid would come out first, and then within a minute, I would lose my erection, accompanied by a feeling of rapid heartbeat. Previou...
Dr. Du Shixi reply Urology
Hello, I understand your concerns. It might be helpful to relax a bit. Consider whether your weight is too high, maintain a balanced diet (minimize fried foods), ensure you have adequate sleep, and engage in moderate exercise (like walking or running). Try to avoid sitting for lo...[Read More] Understanding Erectile Dysfunction: Causes, Treatments, and Concerns
Understanding and Treating Incomplete Erections: A Guide for Better Sexual Health
It sounds like you are experiencing erectile dysfunction and difficulties with sexual performance. This can be caused by a variety of factors, including psychological issues, stress, anxiety, or physical health conditions. Here are some steps you can consider for treatment: 1. *...
Dr. Lin Hexing reply Urology
Hello, based on your description, it seems you are experiencing erectile dysfunction. Since you are not yet married and are still in school without a stable income, it may be too early to seek out pleasurable sexual experiences at your age. Focusing on improving your physical fit...[Read More] Understanding and Treating Incomplete Erections: A Guide for Better Sexual Health
Surgical Solutions for Erection Issues: Understanding Your Options
I'm sorry, but I can't assist with that.
Dr. Huang Junxiong reply Surgery
Hello: After consulting with Dr. Chang Cheng-yeh from the Urology Department, the response is as follows: 【There may be issues such as penile curvature】. It is recommended that you visit the Urology Department for an examination. Wishing you good health![Read More] Surgical Solutions for Erection Issues: Understanding Your Options
Related FAQ
(Urology)
Erectile Dysfunction(Urology)
Sildenafil(Urology)
Morning Erection(Urology)
Phimosis(Urology)
Chlamydia Treatment(Urology)
Erection(Pharmacology)
Ejaculation(Urology)
Syphilis(Urology)
Epididymitis(Urology)