Erectile Issues: Causes and Solutions for Young Men

Erection does not become firm?

Hello, doctor.
I have a question to ask.
I am 18 years old, and recently I have been engaging in DIY activities and having physical contact with my girlfriend.
However, I do not always ejaculate during these encounters.
I am very worried about the possibility of her getting pregnant, and now every time we are intimate, I fear that she might conceive.
Over the past month, I have noticed that I do not wake up with an erection in the morning.
Even when I do, it is not firm.
Sometimes, when I watch adult films, I feel no arousal and do not get an erection.
When I try manual stimulation, I may get a slight erection, but it quickly fades away.
I have been troubled by this recently.
If this is a psychological issue, could you please provide me with some advice on how to improve this situation? Thank you.

QQ, 10~19 year old female. Ask Date: 2007/04/18

Dr. Xu Weikai reply Urology

Hello, I think at your age, psychological factors are likely to play a larger role.
It's rarely due to physical issues.
My advice is to not think about it at all; whether you achieve an erection or if it’s not firm enough, just disregard it.
After a while, your body will gradually adjust.
Note: The more you worry and focus on it, the worse your performance will be.
This is a response from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/04/18

More Info

Erectile issues in young men can be a complex topic, often involving a combination of psychological and physiological factors. At 18 years old, experiencing difficulties with erections can be concerning, especially if it is a sudden change from your previous sexual function. Let's explore some potential causes and solutions.

Causes of Erectile Issues
1. Psychological Factors: Anxiety is one of the most common causes of erectile dysfunction (ED) in younger men. Your concerns about pregnancy and the pressure to perform sexually can create a cycle of anxiety that affects your ability to achieve or maintain an erection. Performance anxiety, stress from school or relationships, and even fear of intimacy can contribute to these issues.

2. Physical Factors: While less common in younger men, physical causes can include hormonal imbalances, such as low testosterone levels, or issues with blood flow. Conditions like diabetes, high blood pressure, or obesity can also lead to erectile dysfunction, but these are typically more prevalent in older individuals.

3. Lifestyle Factors: Your lifestyle choices can significantly impact your sexual health. Poor diet, lack of exercise, smoking, and excessive alcohol consumption can all contribute to erectile issues. Additionally, frequent use of pornography can sometimes lead to unrealistic expectations about sex and can desensitize you to sexual stimuli.

4. Medical Conditions: Although you are young, certain medical conditions can affect erectile function. If you have any underlying health issues, it’s essential to discuss these with a healthcare provider.

Solutions and Recommendations
1. Consult a Healthcare Provider: The first step is to speak with a healthcare professional. They can help determine if there is an underlying medical condition that needs to be addressed. A thorough evaluation may include blood tests to check hormone levels and other health markers.

2. Address Psychological Factors: If anxiety is a significant factor, consider speaking with a therapist or counselor. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing performance anxiety and other psychological barriers to sexual function. Learning relaxation techniques, such as mindfulness or deep breathing exercises, can also help reduce anxiety.

3. Open Communication: Discuss your concerns with your partner. Open communication can alleviate some of the pressure you feel during intimate moments. Understanding and support from your partner can help reduce anxiety and improve your sexual experiences.

4. Lifestyle Changes: Focus on improving your overall health. Regular exercise, a balanced diet, and avoiding smoking and excessive alcohol can improve blood flow and overall well-being. Additionally, reducing screen time and the consumption of pornography can help recalibrate your sexual responses.

5. Education and Awareness: Educate yourself about sexual health. Understanding that fluctuations in sexual function are normal can help reduce anxiety. Many young men experience similar issues, and knowing you are not alone can be comforting.

6. Consider Professional Help for Sexual Dysfunction: If the problem persists, there are medical treatments available. Medications like phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) can be prescribed, but these should only be used under the guidance of a healthcare provider.

Conclusion
Erectile issues can be distressing, especially at a young age, but they are often manageable with the right approach. By addressing both psychological and physical factors, you can improve your sexual health and regain confidence. Remember, seeking help is a sign of strength, and there are many resources available to support you through this process. Don't hesitate to reach out to a healthcare professional for personalized advice and treatment options.

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