Erection Issues: Causes and Concerns for Young Men - Urology

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Erectile dysfunction


Hello doctor, I have graduated from medical school.
I want to ask you about my experience with masturbation.
At first, I was very aroused, but after looking at some pictures, I suddenly lost interest and it gradually became less firm.
I became quite anxious and kept thinking about it, but I continued until the moment of ejaculation when it became a bit firmer.
Is this normal? Could my sudden loss of desire be due to staying up late?

En, 10~19 year old female. Ask Date: 2021/06/16

Dr. Liu Mingyue reply Urology


Hello: This platform cannot provide a diagnosis, but your condition is not normal.
It is recommended to monitor your health for 1-2 weeks, and pay attention to rest, exercise, and diet.
Wishing you good health.

Reply Date: 2021/06/16

More Info


Erection issues, especially in young men, can be a source of concern and anxiety. It's important to understand that experiencing fluctuations in erectile function is quite common and can be influenced by a variety of factors. Based on your description, it seems you are experiencing a temporary loss of erection during masturbation, which can happen for several reasons.

Firstly, psychological factors play a significant role in sexual arousal and erectile function. Anxiety, stress, and performance pressure can lead to difficulties in maintaining an erection. If you find yourself overthinking the situation or feeling anxious about your performance, this can create a cycle of worry that further impacts your ability to achieve or maintain an erection. It's essential to create a relaxed environment and focus on the experience rather than the outcome.

Secondly, physical factors can also contribute to erectile issues. Fatigue, lack of sleep, and overall health can significantly affect sexual performance. If you are staying up late and not getting enough rest, this could lead to decreased libido and erectile function. Sleep is crucial for hormonal balance and overall well-being, and insufficient sleep can lead to increased stress levels and decreased energy, which can impact sexual desire and performance.

Moreover, lifestyle choices such as diet, exercise, and substance use can also affect erectile function. Regular physical activity, a balanced diet, and avoiding excessive alcohol or recreational drugs can help improve overall health and sexual performance. If you are concerned about your habits, consider making some adjustments to promote better health.

It's also worth noting that hormonal factors can play a role in erectile function. Testosterone levels, for example, can fluctuate and may impact libido and erectile quality. If you suspect that hormonal issues might be a concern, it may be beneficial to consult with a healthcare provider who can evaluate your symptoms and possibly conduct tests to assess your hormone levels.

If these issues persist or if you find that they are causing significant distress, it may be wise to seek professional help. A healthcare provider can offer guidance, conduct necessary evaluations, and provide reassurance. They can also help identify any underlying medical conditions that may be contributing to your symptoms.

In summary, experiencing temporary erectile issues is normal, especially in young men. Factors such as anxiety, fatigue, lifestyle choices, and hormonal levels can all play a role. Focus on creating a relaxed environment, ensuring you get enough sleep, and maintaining a healthy lifestyle. If the problem continues or worsens, don't hesitate to reach out to a healthcare professional for further evaluation and support. Remember, open communication with a doctor can help alleviate concerns and provide you with the information you need to address any issues effectively.

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