Is that really the case?
Dear Dr.
Hsu Wei-Kai: I visited Dr.
Jiang Guan-Chung at Cheng Ching Hospital, who diagnosed me (after blood tests) and said that my hormone levels are normal for my age and that I don’t smoke, so it wouldn’t be venous insufficiency or arterial insufficiency.
He mentioned it is due to "psychological stress." Is this really the case? However, I have been experiencing rapid loss of erection for about six months.
Can emotional stress really have such a significant impact? Can it affect someone for as long as six months? I am not questioning Dr.
Jiang's expertise; I just feel that my situation is quite serious, and I am really worried.
What should I do?
A Dong, 20~29 year old female. Ask Date: 2003/11/21
Dr. Xu Weikai reply Urology
Actually, Dr.
Jiang's considerations are quite reasonable, as it is rare to encounter erectile dysfunction in individuals under 40 years of age.
According to statistics, cases in this age group account for less than 2%, with a significant increase typically occurring after the age of 50.
In your situation, I believe psychological factors play a substantial role.
Generally, it is advisable to start with medication, and once confidence is established, there may be no need for continued use of the medication.
Additionally, if the condition does not improve, further evaluations such as a nocturnal penile tumescence test or even cavernosography may be considered.
Of course, these are more invasive and uncomfortable procedures, usually reserved for cases where other methods have not provided clarity.
My suggestion is to have a few follow-up visits and communicate with Dr.
Jiang (although he may seem cool at times, he is actually very gentle and kind-hearted).
Reply Date: 2003/11/21
More Info
Psychological stress can indeed have a significant impact on erectile function, and it is not uncommon for individuals to experience erectile difficulties due to emotional or psychological factors. In your case, it seems that your doctor has ruled out physiological causes such as hormonal imbalances or vascular issues, which is a crucial first step in understanding your condition.
Erectile dysfunction (ED) can stem from a variety of causes, and psychological stress is one of the most common contributors. Stress can affect your body in numerous ways, leading to increased levels of anxiety and tension, which can interfere with the physiological processes required for an erection. When a person is under stress, the body releases stress hormones like cortisol and adrenaline, which can lead to a fight-or-flight response. This response can divert blood flow away from the genitals, making it more difficult to achieve or maintain an erection.
Moreover, psychological factors such as anxiety, depression, and relationship issues can exacerbate erectile dysfunction. If you have been experiencing stress for an extended period, it is entirely plausible that this has contributed to your erectile difficulties. The mind and body are intricately connected, and mental health can significantly influence physical health.
In your situation, where you have noticed a persistent issue for about six months, it is essential to address both the psychological and emotional aspects of your health. Here are some strategies that may help:
1. Seek Professional Help: Consider consulting with a mental health professional, such as a psychologist or psychiatrist, who specializes in sexual health. They can help you explore any underlying issues contributing to your stress and provide coping strategies.
2. Communication: If you are in a relationship, open communication with your partner about your feelings and concerns can alleviate some of the pressure you may be feeling. This can help create a supportive environment where both partners feel understood.
3. Stress Management Techniques: Engage in stress-reducing activities such as mindfulness meditation, yoga, or deep breathing exercises. These practices can help calm your mind and reduce anxiety, which may improve your erectile function.
4. Physical Activity: Regular exercise can improve blood flow, reduce stress, and enhance overall well-being. Aim for at least 30 minutes of moderate exercise most days of the week.
5. Healthy Lifestyle Choices: Ensure you are maintaining a balanced diet, getting enough sleep, and avoiding excessive alcohol or recreational drugs, as these can also impact erectile function.
6. Consider Therapy: Cognitive-behavioral therapy (CBT) can be particularly effective for addressing anxiety and stress-related issues. It can help you reframe negative thoughts and develop healthier coping mechanisms.
7. Follow-Up with Your Doctor: Keep an open line of communication with your healthcare provider. If your symptoms persist or worsen, further evaluation may be necessary to rule out any other potential causes.
It is important to remember that you are not alone in this experience, and many men face similar challenges. Addressing the psychological aspects of erectile dysfunction can lead to significant improvements in both your sexual health and overall quality of life. Be patient with yourself as you navigate this process, and seek support when needed.
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