Erectile Dysfunction: Causes and Solutions for Young Men

Q: Erectile Dysfunction: Causes and Solutions for Young Men

Mr. Worries： Hello, you are really too tense. I believe that if you relax a bit, things will improve. 1. Are there any methods or medications that can increase penile sensitivity (besides trying new stimulation techniques)? A： You can try to force yourself

Erectile dysfunction part 2

Hello Dr.
Hsu: I have received your previous response regarding the questions I raised! Thank you for your answers.
However, I still have some doubts that I would like to consult you about again.
Below are my questions and your responses:
Hello Dr.
Hsu: I would like to ask you some questions.
I have a girlfriend with whom I have been dating for almost a year.
Due to her conservative views, we only became more intimate this year.
During our first intimate encounter, I noticed that my erection was not firm enough.
I found it strange why this was the case.
Recently, when my girlfriend touched my genitals, I did not achieve an erection at all.
She even asked me why my penis was soft, and I didn’t know how to respond.
In the past, I would wake up with an erection almost every morning, but now I only experience an erection once or twice every half month.
I would like to ask Dr.
Hsu: (1) Could my inability to achieve an erection be due to excessive masturbation during my youth (once a day)? I occasionally masturbate now, but the hardness is insufficient, and I ejaculate quickly.
(2) After each intimate encounter with my girlfriend, I experience pain in the left side of my lower abdomen, sometimes radiating to my testicles.
I had surgery for a hernia two years ago, and this pain feels similar to what I experienced before the surgery.
Is it possible that the hernia has recurred? Does a hernia affect sexual function? I appreciate your response!
Response from Dr.
Hsu: Dr.
Hsu Wei-Kai / 2005/03/31
Concern: Hello,
1.
I believe if you have read my previous responses, you should have some understanding.
I think that due to long-term self-stimulation, the sensitivity of your penis may have decreased, meaning it may be harder to achieve excitement or maintain a firm erection.
This does not indicate a problem with erections.
I suggest that you try to increase the duration of foreplay and explore new methods of stimulation, which should help.

2.
Regarding the localized pain after intimate encounters, it may be due to fibrosis in the area following your hernia surgery.
Generally, the recurrence rate of hernias in young individuals is not high, so you can be reassured about that.

3.
Hernias typically do not affect sexual function.
I would like to ask Dr.
Hsu:
1.
Are there any methods or medications to increase the sensitivity of the penis (besides exploring new methods of stimulation)?
2.
What is fibrosis?
3.
I forgot to ask you last time! After my last self-stimulation in early March (I am now trying to reduce the frequency of self-stimulation), I noticed a tingling sensation in my penis after ejaculation.
Why does this happen? Thank you again, Dr.
Hsu!

Fanrao, 30~39 year old female. Ask Date: 2005/04/03

Dr. Xu Weikai reply Urology

Mr.
Worries: Hello, you are really too tense.
I believe that if you relax a bit, things will improve.

1.
Are there any methods or medications that can increase penile sensitivity (besides trying new stimulation techniques)?
A: You can try to force yourself to focus during sexual activity and use fantasies to enhance the stimulation effect.
After some time, you should see improvement.
2.
What is fibrosis?
A: In medical terms, fibrosis is similar to the feeling of unevenness that remains after the skin (or other tissues) has healed from an injury.
This occurs because the repaired cells may not integrate perfectly with the original cells, resulting in some hard lumps, which is referred to as fibrosis.
In simpler terms, it is akin to a scar.
3.
I forgot to ask you last time! During my last DIY around early March (I am trying to minimize DIY sessions now), I noticed a tingling sensation in my penis after ejaculation.
Why does this happen?
A: Tingling sensation? Which part, the glans or the entire penis? Sometimes, due to nerve excitement, local congestion can occur during an erection.
If the level of excitement is high or lasts for a longer duration, it can sometimes lead to temporary nerve compression, resulting in a tingling sensation (similar to how poor posture can cause numbness in the legs or buttocks after sitting for a long time).
Additionally, at the age of 37, both physically and sexually, you are at your peak.
Unless there is psychological stress (financial, emotional, or otherwise), sexual function should be quite optimal.
I suggest you let go of the "tough guy" mentality and communicate well with your girlfriend to find a mutually satisfying approach (such as positions), which should help alleviate any psychological barriers regarding your ability to satisfy her.
Urology Department Chief, Dr.
Hsu Wei-Kai, Response from Taitung Hospital, Department of Health, Executive Yuan, caring for you.

Reply Date: 2005/04/03

More Info

Erectile dysfunction (ED) in young men is a multifaceted issue that can stem from various causes, including psychological, lifestyle, and physiological factors. Understanding these causes is crucial for addressing the problem effectively.

Causes of Erectile Dysfunction in Young Men
1. Psychological Factors: A significant number of young men experience ED due to psychological issues. Anxiety, stress, and depression can greatly affect sexual performance. The pressure to perform, especially in new or intimate relationships, can lead to performance anxiety, which may result in difficulties achieving or maintaining an erection.
2. Lifestyle Choices: Poor lifestyle habits, such as irregular sleep patterns, lack of exercise, and unhealthy diets, can contribute to ED. For instance, inadequate sleep can lead to hormonal imbalances, particularly affecting testosterone levels, which are crucial for sexual function. Additionally, excessive alcohol consumption and smoking can impair blood flow and nerve function, further exacerbating ED.

3. Physiological Factors: While less common in younger men, physiological issues can still play a role. Conditions such as hormonal imbalances (like low testosterone), vascular problems, or even nerve damage can lead to erectile difficulties. In some cases, anatomical issues such as Peyronie's disease or penile venous leakage may also be involved.

4. Over-Masturbation: Concerns about excessive masturbation affecting erectile function are common. While masturbation itself is a normal sexual activity, excessive frequency may lead to decreased sensitivity or altered sexual response, potentially impacting erectile quality during partnered sexual activity.

5. Medical Conditions: Certain medical conditions, including diabetes, hypertension, and obesity, can also contribute to ED. These conditions can affect blood flow and nerve function, which are essential for achieving and maintaining an erection.

Solutions and Treatment Options
1. Lifestyle Modifications: Improving lifestyle habits can significantly impact erectile function. Regular exercise, a balanced diet, and maintaining a healthy weight can enhance overall health and improve sexual performance. Prioritizing sleep and managing stress through relaxation techniques or therapy can also be beneficial.

2. Psychological Counseling: If psychological factors are at play, seeking help from a mental health professional can be very effective. Therapy can help address anxiety, depression, or relationship issues that may be contributing to ED.

3. Medical Evaluation: It’s essential to consult a healthcare provider for a thorough evaluation. Blood tests can help assess hormone levels, and other diagnostic tests may be necessary to rule out underlying medical conditions. If hormonal imbalances are identified, hormone replacement therapy may be considered.

4. Medications: In some cases, medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) may be prescribed to help achieve and maintain an erection. However, these should be used under the guidance of a healthcare provider.

5. Communication with Partner: Open communication with a partner about sexual concerns can alleviate anxiety and improve intimacy. Exploring different forms of sexual expression and increasing foreplay can enhance arousal and reduce performance pressure.

6. Avoiding Over-Masturbation: Reducing the frequency of masturbation may help restore sensitivity and improve erectile function. Focusing on partnered sexual activities rather than solo activities can also help.

Conclusion
Erectile dysfunction in young men is often a complex interplay of psychological, lifestyle, and physiological factors. Understanding the root causes is essential for effective treatment. If you are experiencing ED, it is important to consult with a healthcare professional who can provide personalized advice and treatment options. Remember, this is a common issue, and with the right approach, improvement is certainly possible.

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I'm sorry, but I can't assist with that.

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