Erection Issues: Causes and Solutions for Men

Erectile dysfunction

The penis is erect but feels soft, and the ejaculate is liquid in consistency.
Additionally, there is no morning erection.
I noticed this symptom three days ago (it may have been present for a few days without my noticing).
I would like to know what I should do.

Yazi, 10~19 year old female. Ask Date: 2023/08/11

Dr. Fu Shizhang reply Urology

If erectile function affects sexual activity, it is recommended to consult a urologist.
Online consultations cannot replace an in-person evaluation and physical examination by a physician.
If there is an underlying condition, it is still advised to seek care at a medical facility.

Reply Date: 2023/08/11

More Info

Erection issues can be a source of concern for many men, and understanding the underlying causes is crucial for finding effective solutions. Based on your description, it seems you are experiencing a situation where you can achieve an erection, but it is not firm, and you have noticed changes in your ejaculation. Additionally, the absence of morning erections can also be a significant indicator of underlying issues.

Possible Causes of Erection Issues
1. Psychological Factors: Stress, anxiety, depression, and relationship issues can significantly impact sexual performance. Psychological factors can lead to performance anxiety, which may result in difficulties achieving or maintaining an erection.

2. Physical Health Conditions: Various medical conditions can affect erectile function. These include:
- Cardiovascular Diseases: Conditions such as hypertension and atherosclerosis can restrict blood flow to the penis, making it difficult to achieve a firm erection.

- Diabetes: This condition can damage nerves and blood vessels, leading to erectile dysfunction (ED).

- Hormonal Imbalances: Low testosterone levels can affect libido and erectile function. Hormonal issues can stem from various factors, including aging, obesity, and certain medical conditions.

- Neurological Disorders: Conditions like multiple sclerosis, Parkinson's disease, or spinal cord injuries can interfere with nerve signals necessary for an erection.

3. Lifestyle Factors: Poor lifestyle choices can also contribute to erectile issues. These include:
- Smoking: Tobacco use can impair blood flow and lead to ED.

- Alcohol Consumption: Excessive drinking can affect sexual performance.

- Obesity: Being overweight can lead to hormonal changes and vascular problems that affect erections.

- Sedentary Lifestyle: Lack of physical activity can contribute to poor cardiovascular health, impacting erectile function.

4. Medications: Certain medications can have side effects that include erectile dysfunction. These may include medications for high blood pressure, depression, and other health conditions.

Solutions and Recommendations
1. Consult a Healthcare Professional: The first step in addressing your concerns should be to consult a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly blood tests, to determine the underlying cause of your symptoms.

2. Lifestyle Modifications: Making healthy lifestyle changes can have a significant impact on erectile function. Consider:
- Quitting smoking and reducing alcohol intake.

- Engaging in regular physical activity to improve cardiovascular health.

- Maintaining a healthy weight through a balanced diet.

3. Psychological Support: If psychological factors are contributing to your erectile issues, consider speaking with a mental health professional. Therapy can help address anxiety, depression, or relationship issues that may be affecting your sexual health.

4. Medication Options: If lifestyle changes and psychological support do not resolve the issue, your doctor may discuss medication options. Phosphodiesterase type 5 inhibitors (such as Viagra, Cialis, or Levitra) are commonly prescribed for erectile dysfunction and can help improve blood flow to the penis.

5. Hormonal Evaluation: If low testosterone is suspected, your doctor may recommend hormone replacement therapy or other treatments to address hormonal imbalances.

6. Regular Check-ups: Regular health check-ups can help monitor and manage any underlying health conditions that may contribute to erectile dysfunction.

In conclusion, erectile issues can stem from various physical, psychological, and lifestyle factors. It is essential to approach this matter holistically and seek professional guidance to identify the underlying causes and appropriate treatment options. Remember, you are not alone in this, and many men experience similar challenges. With the right support and intervention, it is possible to improve your sexual health and overall well-being.

Similar Q&A

Understanding and Managing Sexual Desire Issues in Urology

It is common to notice that during daily activities, there may be instances where there is a lack of erection before ejaculation. This can be attributed to various factors, including psychological stress, fatigue, or hormonal imbalances. To address issues related to sexual desire...

Dr. Du Shixi reply Urology
Hello: Your situation is likely not ejaculation, but rather the release of some prostatic fluid. If you do not have a regular partner, then DIY solutions are your only option. Wishing you good health.

Addressing Erectile Dysfunction: Causes, Treatments, and Concerns

Hello Doctor, since last August, I have been experiencing issues with insufficient rigidity during sexual intercourse, and the sensitivity during erection has become quite dull. I can still complete the act as long as there is continuous stimulation, but if I get distracted, I lo...

Dr. Xu Wencang reply Urology
The test results are acceptable. You can follow the physician's recommendations for treatment for a period of time, and you should gradually recover.

Understanding Erectile Dysfunction: Causes and Solutions for Young Men

For the past two to three years, I have needed to use my hands to achieve an erection, and the firmness varies. Previously, I had difficulty maintaining an erection during intercourse with my ex-girlfriend, and I don't have much sexual experience. I'm unsure whether thi...

Dr. Cai Zhuorong reply Urology
As you mentioned, habits such as staying up late, smoking, lack of exercise, and prolonged sitting at a computer desk can have detrimental effects on erectile function. These behaviors primarily contribute to the hardening of small arteries, which impairs blood flow. Psychologica...

Understanding Erection Issues: Causes and Solutions for Young Men

Hello Doctor: I am 23 years old, a graduate student, and I have not engaged in sexual intercourse. I occasionally work out, but I do very little aerobic exercise. I have noticed a significant decrease in my libido over the past six months to a year (it's been quite a while, ...

Dr. Du Mingyi reply Urology
Basically, your issues are caused by psychological factors, and there are no organ-related problems. The first method for improvement is to stop watching adult films and masturbating. When exercising, don't just focus on weight training; incorporate aerobic exercises as well...