Sexual dysfunction
Hello Doctor: This is my first experience with sexual intercourse.
In the past, when I was with my girlfriend, I couldn't achieve a full erection.
Later, I noticed that I no longer have any erection.
However, I can still achieve an erection when I masturbate.
What should I do?
Mr. Zheng, 10~19 year old female. Ask Date: 2006/11/06
Dr. Pan Zhenqin reply Urology
The first sexual encounter is always exciting yet nerve-wracking, which can often lead to less than satisfactory performance, so there's no need to worry too much about it for now.
Since there are no issues with erections during masturbation, it would be advisable to observe the situation and reassess when engaging in sexual activity becomes less stressful.
Reply Date: 2006/11/06
More Info
Erectile dysfunction (ED) is a common issue that many men face at some point in their lives. It can be caused by a variety of factors, including psychological, physiological, and lifestyle-related issues. Understanding these causes is crucial for finding effective solutions.
Causes of Erectile Dysfunction
1. Psychological Factors: Anxiety, stress, and depression can significantly impact sexual performance. The pressure to perform can create a cycle of anxiety that makes it even harder to achieve or maintain an erection. This is particularly common in younger men who may feel nervous about their sexual abilities.
2. Physiological Factors: Conditions such as diabetes, high blood pressure, and heart disease can affect blood flow and nerve function, leading to erectile difficulties. Hormonal imbalances, particularly low testosterone levels, can also contribute to ED.
3. Lifestyle Choices: Poor diet, lack of exercise, smoking, and excessive alcohol consumption can negatively impact erectile function. Maintaining a healthy lifestyle is essential for overall sexual health.
4. Medications: Certain medications can have side effects that include erectile dysfunction. If you are taking medications for other health conditions, it’s worth discussing with your doctor whether they could be contributing to your ED.
5. Age: As men age, the likelihood of experiencing erectile dysfunction increases. This is often due to a combination of the factors mentioned above.
Solutions for Erectile Dysfunction
1. Consult a Healthcare Professional: The first step in addressing ED is to consult with a healthcare provider. They can help determine the underlying cause and recommend appropriate treatments. This may include physical examinations, blood tests, or psychological evaluations.
2. Lifestyle Modifications: Improving your diet, increasing physical activity, and reducing alcohol consumption can have a positive impact on erectile function. Regular exercise improves blood circulation and can enhance sexual performance.
3. Psychological Counseling: If anxiety or stress is a contributing factor, talking to a therapist or counselor can be beneficial. Cognitive-behavioral therapy (CBT) is particularly effective in addressing performance anxiety.
4. Medications: There are several medications available that can help improve erectile function. These include phosphodiesterase type 5 inhibitors (PDE5 inhibitors) like Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil). These medications work by increasing blood flow to the penis, making it easier to achieve and maintain an erection.
5. Vacuum Erection Devices: These devices create a vacuum around the penis, drawing blood into it and causing an erection. They can be a useful option for men who prefer non-pharmaceutical solutions.
6. Penile Injections or Implants: In more severe cases, injections directly into the penis or surgical implants may be considered. These options are typically reserved for cases where other treatments have failed.
7. Education and Communication: Understanding that ED is a common issue can help reduce anxiety. Open communication with your partner about your experiences and feelings can also alleviate pressure and improve intimacy.
Conclusion
Erectile dysfunction can be a distressing condition, especially for someone experiencing it for the first time. However, it is important to remember that it is a common issue and can often be treated effectively. By addressing both the physical and psychological aspects of ED, you can find a solution that works for you. If you are experiencing difficulties, don’t hesitate to reach out to a healthcare professional for guidance and support.
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