Factors Affecting Sexual Performance in Young Men

Q: Factors Affecting Sexual Performance in Young Men

Xiao Zhao： It's such a coincidence! Xiao Zhao from Jin Yong is one of my favorite characters. <br>Sexual function in young people is often unstable. <br>This is partly due to a lack of experience and partly because of irregular lifestyles. <br>There's a saying： "When well-fed, on

What misunderstandings can affect sexual function?

I am only 19 years old, but I feel that my sexual ability seems to have declined recently.
My libido has decreased, and my erections are less firm and not lasting as long.
If overall health can affect sexual ability, what factors could contribute to this? I believe my health is generally okay, and my daily routine is normal, but I do have gastrointestinal issues such as peptic ulcers and occasional constipation.
Could these be affecting my sexual function?

Xiao Zhao, 10~19 year old female. Ask Date: 2007/01/30

Dr. Xu Weikai reply Urology

Xiao Zhao: It's such a coincidence! Xiao Zhao from Jin Yong is one of my favorite characters.
Sexual function in young people is often unstable.
This is partly due to a lack of experience and partly because of irregular lifestyles.
There's a saying: "When well-fed, one thinks of lust," which means that only when one's health is properly cared for can the body have the capacity for sexual function.
In other words, physical condition determines sexual function.
Generally, many medications for peptic ulcers can affect sexual function after long-term use.
In fact, at your age, most issues are still due to psychological factors, leading to unnecessary doubts.
A slight difficulty in achieving an erection can cause you to suspect a sexual dysfunction.
Especially nowadays, with many misleading concepts circulating, it can leave you feeling confused.
I once visited a knowledge-sharing website and saw many questions about sexually transmitted diseases, sexual function, and pregnancy, some of which were completely incorrect.
I even felt compelled to provide the correct information, but it was still overlooked.
I'm not saying that the knowledge-sharing website is bad, but in the online world, people are anonymous and not held accountable, which can lead to confusion for those who are somewhat knowledgeable.
In severe cases, it may even cause you to doubt whether you have a disease.
My advice is to relax a bit, maintain a regular daily routine, and with your 19-year-old body, you will be able to adjust quickly.
Everything will pass.

Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, Xu Wei-Kai.

Reply Date: 2007/01/30

More Info

At 19 years old, experiencing changes in sexual performance can be concerning, but it's important to understand that various factors can contribute to these changes. In young men, sexual performance issues such as decreased libido, difficulty achieving or maintaining an erection, and reduced hardness can often be linked to both physical and psychological factors.

Physical Factors
1. Health Conditions: While you mention that you consider your health to be okay, underlying health issues can significantly impact sexual performance. Conditions like peptic ulcers and gastrointestinal issues can lead to discomfort, anxiety, and stress, which may indirectly affect libido and erectile function. Chronic pain or discomfort can lead to a decreased interest in sexual activity.

2. Hormonal Levels: Testosterone is a key hormone in male sexual function. Although you may feel healthy, fluctuations in hormone levels can occur due to various reasons, including stress, diet, and lifestyle. It’s advisable to have your hormone levels checked if you suspect this might be an issue.

3. Lifestyle Factors: Diet, exercise, and sleep patterns play a crucial role in sexual health. A poor diet, lack of physical activity, and inadequate sleep can lead to decreased energy levels and libido. Regular exercise, particularly aerobic activities, can improve blood flow and overall health, which are essential for sexual performance.

Psychological Factors
1. Stress and Anxiety: Mental health plays a significant role in sexual performance. Stress from academic pressures, personal relationships, or even health concerns can lead to anxiety, which may manifest as erectile dysfunction or reduced sexual desire. The mind and body are closely linked, and psychological stress can inhibit sexual arousal.

2. Performance Anxiety: As you become more aware of your sexual performance, you may develop anxiety about it, which can create a cycle of worry that exacerbates the problem. This is common among young men, especially if they feel pressure to perform or compare themselves to others.

3. Habits and Expectations: If you have been consuming adult content, it can create unrealistic expectations about sexual performance and body image. This can lead to dissatisfaction with your own experiences and contribute to anxiety during intimate moments.

Recommendations for Improvement
1. Consult a Healthcare Professional: Since you have existing gastrointestinal issues, it’s wise to consult with a healthcare provider who can assess your overall health and any potential impact on your sexual function. They can also check for hormonal imbalances if necessary.

2. Manage Stress: Consider stress management techniques such as mindfulness, meditation, or yoga. These practices can help reduce anxiety and improve your overall mental health, which can positively impact your sexual performance.

3. Healthy Lifestyle Choices: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Regular physical activity, including both aerobic and strength training, can enhance your physical health and improve blood flow, which is crucial for erectile function.

4. Limit Adult Content: Reducing or eliminating the consumption of adult content can help reset your expectations and reduce performance anxiety. Instead, focus on building real-life connections and intimacy with partners.

5. Open Communication: If you have a partner, open communication about your feelings and experiences can alleviate pressure and foster a supportive environment. This can help both of you feel more comfortable and connected.

6. Seek Professional Help: If the issues persist, consider speaking with a therapist or counselor who specializes in sexual health. They can provide strategies to address anxiety and improve your sexual confidence.

In conclusion, while it’s normal for young men to experience fluctuations in sexual performance, understanding the contributing factors—both physical and psychological—can help you address these issues effectively. By focusing on your overall health and well-being, you can improve your sexual performance and enjoy a fulfilling sexual life.

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