Resistance in Erection: Causes and Treatment Options

Q: Resistance in Erection: Causes and Treatment Options

Hello： Since I was young, my erection has been around 80 degrees, and there is no curvature. <br>However, when I try to raise it, there is resistance, and going beyond 90 degrees can be uncomfortable or even slightly painful. <br>The hardness and other aspects are normal, and I h

Erection is met with resistance when directed upwards?

Hello doctor, since I was young, my erection has been about 80 degrees, and there is no curvature.
However, when I try to raise it, there is resistance, and going beyond 90 degrees can be uncomfortable and even a bit painful.
The hardness and other aspects are normal, and I don't have any issues with masturbation.
I have not had any sexual experience yet.
Will this affect normal intercourse? If correction (surgery) is needed, how would it be performed? What are the common causes of this condition? Is surgery generally recommended? I often feel self-conscious about not being able to raise it fully.

Chang, 20~29 year old female. Ask Date: 2024/03/02

Dr. Du Shixi reply Urology

Hello: Since I was young, my erection has been around 80 degrees, and there is no curvature.
However, when I try to raise it, there is resistance, and going beyond 90 degrees can be uncomfortable or even slightly painful.
The hardness and other aspects are normal, and I have not experienced any issues during masturbation.
I currently have no sexual experience.
Will this affect normal intercourse? ---》 It should not.
If correction (surgery) is needed, how would it be performed? ---》 Surgery is not necessary.
What usually causes this condition? ---》 Everyone is different.
Is surgery typically recommended for most cases? ---》 No.
Wishing you good health.

Reply Date: 2024/03/02

More Info

Understanding resistance in erection, particularly when it comes to the angle and comfort during an erection, can be a complex issue that involves both physiological and psychological factors. Based on your description, it seems that you experience resistance when attempting to achieve an angle greater than 90 degrees, which causes discomfort or pain. While your erection hardness and other aspects appear normal, the resistance you feel could be indicative of a few underlying conditions.

Possible Causes
1. Peyronie's Disease: This condition is characterized by the development of fibrous scar tissue inside the penis, which can cause curved, painful erections. Although you mentioned that there is no curvature, the resistance and discomfort could still be related to localized fibrosis or other structural issues.

2. Anatomical Variations: Some individuals may have anatomical variations in the penile structure that can lead to discomfort when achieving certain angles. This could be due to the positioning of the ligaments or the way the erectile tissue expands.

3. Psychological Factors: Anxiety or self-consciousness about sexual performance can also lead to tension in the pelvic muscles, which might contribute to the sensation of resistance.
4. Muscle Tension: The muscles involved in erection and pelvic floor muscles can sometimes be overly tense, leading to discomfort when trying to achieve a certain angle.

Impact on Sexual Activity
Regarding your concern about how this might affect normal sexual intercourse, it is important to note that many individuals experience variations in their erections, and these do not necessarily impede sexual function. However, if the discomfort is significant, it could potentially affect your confidence and enjoyment during sexual activity. Open communication with a partner about any discomfort can also help alleviate anxiety.

Treatment Options
1. Observation: If the condition is not causing significant pain or functional impairment, a watchful waiting approach may be appropriate. Many individuals find that their symptoms do not worsen over time.

2. Physical Therapy: Pelvic floor physical therapy can help address muscle tension and improve flexibility, potentially alleviating discomfort during erections.

3. Medications: In some cases, medications may be prescribed to help with any underlying issues, such as anxiety or muscle tension.

4. Surgery: Surgical intervention is typically considered a last resort and is usually recommended only if the condition significantly impacts sexual function or quality of life. Surgical options may include procedures to remove scar tissue or to correct anatomical issues. The specifics of the surgery would depend on the underlying cause identified by a urologist.

Conclusion
It is essential to consult with a healthcare professional, preferably a urologist, who can perform a thorough evaluation to determine the exact cause of your symptoms. They can provide personalized recommendations based on your specific situation. Remember, many individuals experience variations in their erections, and seeking help is a positive step toward understanding and addressing any concerns you may have. Additionally, addressing any psychological factors through counseling or therapy can also be beneficial in managing self-esteem and anxiety related to sexual performance.

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