Erection Issues: Anxiety and Adolescent Sexual Health - Urology

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Erectile dysfunction


I'm a freshman in high school and I want to ask about something.
Previously, when I had an erection, it was quite firm, but later it became somewhat less rigid, and I didn't have much desire.
This might be due to staying up late.
After resting for about 3 or 4 days, I felt a bit overwhelmed today, but when I thought about it, I felt anxious and scared.
However, after adjusting my mood, I felt better and it seemed to be back to how it was before.
Is this normal? Am I experiencing this because I tend to be anxious? I saw a doctor before, and they didn't say much, just mentioned that adolescents typically don't have issues with sexual function, and if there are any, they are likely psychological.

En en, 10~19 year old female. Ask Date: 2021/09/02

Dr. Li Xinyi reply Urology


Based on your description, there seems to be no issue, similar to what a doctor would say during a hospital visit; there is no need to worry about erectile function.
The key point is that you are still in your adolescence, and your development is not yet complete.
This means you should focus on maintaining a healthy lifestyle, both physically and mentally.
It's important to take care of yourself during this time of growth, as it only happens once in a lifetime.
Make sure to cherish and make the most of it, and try not to place too much emphasis on sexual matters.

Reply Date: 2021/09/02

More Info


It's completely normal to have concerns about sexual health and function, especially during adolescence. The teenage years are a time of significant physical, emotional, and psychological changes, and it's common for young people to experience fluctuations in sexual desire and erectile function.
From what you've described, it sounds like you may be experiencing some anxiety related to sexual performance, which is not uncommon among adolescents. Anxiety can manifest in various ways, including affecting your sexual arousal and ability to maintain an erection. This is often referred to as "performance anxiety," where the pressure to perform can lead to feelings of nervousness or fear, which in turn can impact your physical response.

It's important to understand that erections can be influenced by many factors, including stress, anxiety, fatigue, and even sleep patterns. If you've been staying up late and not getting enough rest, that could certainly contribute to changes in your sexual function. Sleep is crucial for overall health, including hormonal balance and sexual health. Lack of sleep can lead to increased levels of stress hormones, which can negatively affect libido and erectile function.

You mentioned that after a few days of rest, you felt better and your erections returned to what you consider normal. This suggests that your body may just need some time to recover and that your concerns may be more related to anxiety than a physical issue. It's also worth noting that many young men experience similar fluctuations in their sexual health during their teenage years, and it often resolves itself as they grow older and become more comfortable with their bodies and sexual experiences.

If you find that anxiety continues to be a significant issue for you, it might be helpful to explore relaxation techniques or mindfulness practices. These can help you manage anxiety and improve your overall mental well-being. Techniques such as deep breathing, meditation, or even talking to someone you trust about your feelings can be beneficial.

Additionally, if your anxiety about sexual performance persists or worsens, consider seeking guidance from a mental health professional. They can help you work through your feelings and develop coping strategies. It's also important to maintain open communication with healthcare providers about any concerns you have regarding your sexual health. They can provide reassurance and help you understand what is typical for your age and developmental stage.

In summary, what you're experiencing is likely a normal part of adolescence, influenced by factors such as anxiety and sleep patterns. As you continue to grow and learn more about yourself, these feelings and experiences may become more manageable. Remember, it's okay to seek help and talk about your concerns—you're not alone in this journey.

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