Soft Glans: Causes and Solutions for Erectile Issues

The issue of penile flaccidity?

Hello Dr.
Hsu: I haven't had sexual intercourse for a long time, but I engage in DIY activities about 3 to 5 times a month.
Recently, I've noticed that while I can achieve an erection, the glans does not become firm; the shaft is hard, but the glans remains soft, and the duration of the erection is quite long.
Additionally, I haven't been exercising for the past few years, and my job is sedentary.
I'm wondering if the lack of exercise is affecting my blood circulation, causing the glans to not become firm.
I didn't have this issue before, so I am also concerned if it could be psychological.
This situation is preventing me from being intimate with my girlfriend.
Could you please provide some advice or methods for improvement? Thank you!

Rali, 20~29 year old female. Ask Date: 2006/08/07

Dr. Xu Weikai reply Urology

Hello Rali, the erectile tissue of the glans penis is fundamentally different from the erectile tissue of the shaft of the penis.
During an erection, if there is insufficient engorgement, it can indeed result in a less firm erection.
Increasing the intensity of stimulation should help improve this.
As for prolonged erections and delayed ejaculation, this is also due to insufficient stimulation, which prevents the nerves from fully "discharging," leading to slower ejaculation.
My suggestion is to appropriately increase the intensity of stimulation to see if the firmness of the erection improves.
If it still does not meet your expectations, it would be best to consult a specialist for a "happiness assessment." Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/08/07

More Info

Erectile dysfunction (ED) can be a complex issue that involves both physical and psychological factors. Based on your description, it seems you are experiencing a specific type of erectile issue where the shaft of the penis becomes erect, but the glans (the head of the penis) remains soft. This can be concerning and may affect your sexual relationships. Let's explore the potential causes and solutions for this condition.

Causes of Soft Glans During Erection
1. Circulatory Issues: One of the most common causes of erectile dysfunction is poor blood circulation. Since you mentioned that you have not been exercising regularly and have a sedentary job, it is possible that decreased blood flow to the penis could be contributing to your symptoms. Regular physical activity is essential for maintaining good cardiovascular health, which in turn supports erectile function.

2. Hormonal Factors: Testosterone levels play a significant role in sexual function. Low testosterone can lead to various sexual issues, including difficulties with erections. If you suspect hormonal imbalance, it may be worth discussing this with a healthcare provider.

3. Psychological Factors: Anxiety, stress, and depression can significantly impact sexual performance. If you have been feeling anxious about sexual encounters or have concerns about your performance, this could lead to difficulties in achieving a firm erection. Psychological factors can often manifest physically, leading to issues like the one you are experiencing.

4. Neurological Factors: Nerve damage or conditions affecting the nervous system can also lead to erectile dysfunction. If there are any underlying health conditions, such as diabetes or multiple sclerosis, these could affect nerve function and blood flow.

5. Medications and Substance Use: Certain medications, particularly those for high blood pressure, depression, or anxiety, can have side effects that impact erectile function. Additionally, the use of alcohol or recreational drugs can also contribute to erectile issues.

Solutions and Recommendations
1. Lifestyle Changes:
- Exercise Regularly: Incorporating physical activity into your routine can improve blood circulation and overall health. Aim for at least 150 minutes of moderate aerobic activity each week, such as brisk walking, cycling, or swimming.

- Healthy Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support cardiovascular health. Foods high in antioxidants, such as berries and nuts, can also be beneficial.

- Weight Management: If you are overweight, losing even a small amount of weight can improve erectile function.

2. Consult a Healthcare Provider: It may be beneficial to discuss your symptoms with a healthcare provider. They can evaluate your overall health, perform necessary tests (such as hormone levels), and provide tailored advice. If psychological factors are suspected, a referral to a mental health professional may be appropriate.

3. Consider Therapy: If anxiety or stress is a contributing factor, therapy or counseling can help address these issues. Cognitive-behavioral therapy (CBT) has been shown to be effective for many individuals experiencing performance anxiety.

4. Medication: If lifestyle changes and therapy do not yield improvements, medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) may be prescribed. These medications enhance blood flow to the penis and can help achieve a firmer erection.

5. Avoid Substances: Reducing or eliminating alcohol and avoiding recreational drugs can improve erectile function. If you are taking medications that may affect your sexual performance, discuss alternatives with your doctor.

6. Open Communication with Your Partner: Discussing your concerns with your partner can alleviate some pressure and anxiety. A supportive partner can help create a more relaxed environment for intimacy.

Conclusion
Erectile dysfunction, particularly the issue of a soft glans during erection, can stem from various physical and psychological factors. By addressing lifestyle habits, consulting with healthcare professionals, and considering both physical and mental health aspects, you can work towards improving your erectile function. Remember, it's essential to approach this issue holistically and with patience, as changes may take time to manifest.

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