Erectile Dysfunction: Causes and Solutions for Young Men - Urology

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Erectile dysfunction


Doctor, I would like to ask about my current situation.
I am experiencing difficulty achieving an erection, and the sensitivity of my penis has significantly decreased.
When I do achieve an erection, it is not as firm as it used to be; the hardness has dropped considerably! Previously, it was as hard as a cucumber, but now it feels more like a peeled banana...
I also haven't had morning erections lately.
Do you think this could be related to prolonged sitting, riding a motorcycle, and staying up late? If I improve my sleep habits and start exercising, will that help? I am not overweight; I am 172 cm tall and weigh 60 kg.
What do you think could be the cause? Is it psychogenic? I am a bit scared after researching online; it seems too early for someone my age to experience this kind of issue! I hope you can provide a detailed explanation, as I am really worried about whether it will get better.
Thank you, doctor, for taking the time to read this; I appreciate your hard work!

Mr. Chen, 10~19 year old female. Ask Date: 2023/07/30

Dr. Sun Hongshun reply Urology


Hello Mr.
Chen: You are very professional! The decrease in hardness, lack of morning erections, and the factors you mentioned such as prolonged sitting on a motorcycle, staying up late, and psychological causes all have potential correlations that cannot be ruled out.
Improving your sleep habits and exercising will definitely help you, but it will take time, so please do not worry excessively.
Wishing you a speedy return to normal!

Reply Date: 2023/07/30

More Info


Erectile dysfunction (ED) in young men is a growing concern, and it can stem from a variety of causes, both physical and psychological. As a 26-year-old experiencing difficulties with erections, it’s understandable to feel anxious about your situation. Let’s delve into the potential causes and solutions for your condition.


Causes of Erectile Dysfunction in Young Men
1. Psychological Factors: Stress, anxiety, and depression are significant contributors to ED, especially in younger men. Performance anxiety, particularly in sexual situations, can lead to a cycle of fear and failure that exacerbates the problem. If you are under pressure from work, studies, or personal relationships, this could be affecting your sexual performance.

2. Lifestyle Choices: Poor lifestyle habits such as irregular sleep patterns, lack of exercise, smoking, and excessive alcohol consumption can negatively impact erectile function. You mentioned long periods of sitting and riding a motorcycle, which can restrict blood flow and contribute to ED. Additionally, insufficient physical activity can lead to decreased cardiovascular health, which is crucial for erectile function.

3. Hormonal Issues: Low testosterone levels can also be a factor. You mentioned having your testosterone levels checked, and if they are on the lower side for your age, this could contribute to decreased libido and erectile difficulties. Hormonal imbalances can be influenced by stress, sleep deprivation, and overall health.

4. Medical Conditions: Although less common in younger men, certain medical conditions such as diabetes, hypertension, or vascular diseases can lead to ED. It’s good that you are undergoing tests to rule out any underlying health issues.

5. Physical Trauma: Previous injuries, particularly to the pelvic area, can also affect erectile function. If you have experienced any trauma, it’s worth discussing with your healthcare provider.


Solutions and Treatment Options
1. Lifestyle Modifications: Improving your lifestyle can have a significant impact on your erectile function. Aim for a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Regular exercise can improve blood flow and reduce stress, both of which are beneficial for erectile health. Try to establish a regular sleep schedule to combat the effects of sleep deprivation.

2. Stress Management: Consider techniques such as mindfulness, meditation, or therapy to help manage stress and anxiety. Cognitive-behavioral therapy (CBT) can be particularly effective for addressing performance anxiety.

3. Medical Evaluation: Since you are already undergoing tests, it’s essential to follow up with your healthcare provider to discuss the results. If hormonal issues are identified, your doctor may suggest treatments such as hormone replacement therapy.

4. Communication with Partners: Open communication with your partner about your concerns can alleviate some of the pressure you may feel during intimate moments. This can help create a more relaxed environment conducive to sexual activity.

5. Professional Help: If psychological factors are a significant concern, seeking help from a mental health professional can be beneficial. They can provide strategies to cope with anxiety and improve your sexual confidence.

6. Medication: In some cases, medications such as phosphodiesterase type 5 inhibitors (like Viagra or Cialis) may be prescribed to help achieve and maintain an erection. However, these should be used under the guidance of a healthcare professional.


Conclusion
It’s important to remember that experiencing erectile dysfunction at a young age is not uncommon, and it can often be treated effectively. By addressing lifestyle factors, managing stress, and seeking appropriate medical advice, many young men find improvement in their condition. Don’t hesitate to reach out to a healthcare provider for personalized guidance and support. You are not alone in this, and with the right approach, there is a good chance of recovery and improvement in your sexual health.

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