Erection Issues in Teenagers: Causes and Solutions - Urology

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Erectile dysfunction


Hello doctor, I am a third-year junior high school student.
Recently, when I masturbate, I start off with a strong erection and a high level of desire, but after a short while, my penis becomes less firm, roughly at the level of the floor, and my desire decreases as well.
What could be causing this? I've experienced this before, and I was quite anxious at that time, especially since it coincided with my exams.
I thought I should focus on studying, so I didn't pay much attention to this issue, but I continued to masturbate about 2 to 3 times a week.
After some time, I noticed it gradually improved.
After my exams, I was stuck at home due to the pandemic, and I ended up masturbating about 6 times a week.
Initially, everything was fine, but in the past few days, it has returned to what I described earlier.
I want to know how I can improve this situation.
Additionally, I've been staying up late until 1 or 2 AM, but I don't wake up until after 11 AM.
I previously visited a doctor, and he told me that a 15-year-old wouldn't have issues with sexual dysfunction.
Is that correct? I've also been feeling very anxious lately, and I find myself watching adult videos to see if I can get an erection.
I can get an erection, and it does become firm, but after standing for a short time, it gradually softens.
Is this due to nervousness? Should I stop these behaviors? Thank you, doctor, for patiently reading my four questions.

En, 10~19 year old female. Ask Date: 2021/06/10

Dr. Xu Wencang reply Urology


It can be observed that there are generally no organ issues; it is advisable to participate more in outdoor activities.

Reply Date: 2021/06/10

More Info


Understanding erection issues in teenagers can be complex, as it often involves a combination of physiological, psychological, and situational factors. As a 15-year-old, it's important to recognize that your body is still developing, and fluctuations in sexual function can be quite normal during this time.
Firstly, let's address the physiological aspect. Erection issues can arise from various factors, including hormonal changes, physical health, and lifestyle choices. At your age, testosterone levels are typically increasing, which can lead to heightened sexual desire and more frequent erections. However, stress, anxiety, and fatigue can significantly impact your sexual performance. For instance, you mentioned feeling anxious during your exams, which could have contributed to your erection difficulties. Anxiety can lead to a state of hyper-awareness about your body, which may cause you to overthink the situation, leading to performance anxiety.
Moreover, your sleep patterns are also crucial. You mentioned staying up late and waking up late, which can disrupt your body's natural rhythms and affect your overall energy levels and mood. Lack of sleep can lead to increased stress and anxiety, which can further exacerbate any issues with erections. It's essential to establish a regular sleep schedule to help your body recover and function optimally.

Regarding your concerns about masturbation frequency, it's generally considered normal for teenagers to masturbate. However, if you find that it's becoming compulsive or interfering with your daily life, it may be worth evaluating your habits. The frequency of masturbation can vary widely among individuals, and while some may do it several times a week, others may do it daily or less often. The key is to ensure that it doesn't become a source of stress or anxiety for you.

You also mentioned watching pornography and its effect on your erections. It's important to understand that pornography can create unrealistic expectations about sex and sexual performance. If you're finding that watching porn is leading to increased anxiety about your own sexual performance, it may be beneficial to take a break from it. Instead, focus on understanding your own body and what feels good for you without the pressure of comparison to what you see in adult films.

Lastly, your previous visit to a doctor who stated that a 15-year-old wouldn't experience erectile dysfunction is generally accurate. While it is possible for teenagers to experience temporary erectile issues, it's often linked to psychological factors rather than a physical condition. If these issues persist or worsen, it may be helpful to consult a healthcare professional who specializes in adolescent health or sexual health. They can provide you with more tailored advice and support.

In summary, here are some steps you can take to improve your situation:
1. Establish a Regular Sleep Schedule: Aim for 7-9 hours of sleep each night to help reduce anxiety and improve overall health.


2. Manage Stress and Anxiety: Engage in relaxation techniques such as deep breathing, meditation, or physical exercise to help alleviate stress.

3. Limit Pornography Consumption: Consider reducing or eliminating your consumption of pornography to avoid unrealistic expectations and anxiety.

4. Communicate Openly: If you're comfortable, talk to a trusted adult or healthcare provider about your concerns. They can provide support and guidance.

5. Focus on Healthy Habits: Maintain a balanced diet, stay hydrated, and engage in regular physical activity to support your overall health.

Remember, it's normal to experience fluctuations in sexual function, especially during adolescence. Be patient with yourself as you navigate these changes, and don't hesitate to seek help if you feel overwhelmed.

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Hello doctor, I am a third-year junior high school student. Recently, when I masturbate, I start off with a strong erection and a high level of desire, but after a short time, my penis becomes less erect, roughly at the level of the floor, and my desire decreases as well. What co...


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You can take another look, engage in more outdoor activities, and maintain a regular daily routine.

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