Erectile dysfunction?
I would like to ask Dr.
Hsu, when I go out with a girl and later use the restroom, I notice that my glans is moist and sticky.
Does this count as premature ejaculation or pre-ejaculate fluid? It's quite embarrassing.
Additionally, when I am with my girlfriend, I often find that before ejaculation, my erection loses firmness quickly.
Is this an indication that there is a problem with my bodily functions? Would taking Viagra be helpful in improving this situation? Thank you.
Haozi, 30~39 year old female. Ask Date: 2004/10/18
Dr. Xu Wencang reply Urology
Hello: In response to your question...
it is not an issue of premature ejaculation, but rather the secretion of mucus from the urethral glands in response to stimulation.
Given your age, functional disorders are less common.
You may want to consult a physician for a detailed examination and appropriate treatment.
Keelung Hospital, Department of Health, Executive Yuan.
Hsu Wen-tsang
Reply Date: 2004/10/18
More Info
Understanding temporary erection issues is a common concern among men, and it can stem from a variety of factors, both physical and psychological. The experiences you describe—having a moist or sticky glans after being with a woman and experiencing difficulty maintaining an erection—are not uncommon and can be influenced by several factors.
Firstly, the moistness you notice on the glans after being with a woman is typically due to natural bodily responses. When a man is aroused, pre-ejaculatory fluid, which is produced by the Cowper's glands, can be released. This fluid is normal and serves to lubricate the urethra and neutralize any acidity that may be present from urine. It is not necessarily indicative of premature ejaculation or any dysfunction.
Regarding the issue of maintaining an erection, it is important to recognize that many men experience fluctuations in erectile firmness due to various reasons. Stress, anxiety, fatigue, and even the pressure of performance can significantly impact erectile function. If you find that you are losing your erection before ejaculation, it may be helpful to consider the psychological aspects at play. Performance anxiety is a common issue that can lead to difficulties in maintaining an erection.
Physical factors can also contribute to erectile dysfunction (ED). These may include hormonal imbalances, cardiovascular health, diabetes, or other underlying medical conditions. If this is a recurring issue, it is advisable to consult with a healthcare professional who can conduct a thorough evaluation to rule out any medical concerns.
As for the use of medications like Viagra (sildenafil), they can be effective in treating erectile dysfunction for many men. Viagra works by increasing blood flow to the penis, which can help achieve and maintain an erection when sexually stimulated. However, it is essential to use such medications under the guidance of a healthcare provider, as they can have side effects and may not be suitable for everyone, especially those with certain health conditions or those taking specific medications.
In addition to medication, there are several strategies that can help improve erectile function:
1. Lifestyle Changes: Regular exercise, a balanced diet, and maintaining a healthy weight can improve overall health and blood flow, which is crucial for erectile function.
2. Stress Management: Techniques such as mindfulness, meditation, or counseling can help reduce anxiety and improve sexual performance.
3. Open Communication: Discussing your concerns with your partner can alleviate pressure and create a more relaxed environment, which can enhance intimacy and sexual performance.
4. Professional Help: If the problem persists, seeking help from a urologist or a mental health professional specializing in sexual health can provide tailored solutions and support.
In summary, temporary erection issues can arise from a combination of psychological and physical factors. It is essential to approach this matter holistically, considering both mental and physical health. Consulting with a healthcare provider can help determine the best course of action for your specific situation, whether that involves lifestyle changes, therapy, or medication. Remember, you are not alone in this experience, and there are effective solutions available.
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