Erectile Dysfunction: A Young Man's Struggle and Solutions

Q: Erectile Dysfunction: A Young Man's Struggle and Solutions

Poor person： After reading your description over and over, I really can't see the main point you're trying to make. <br>What exactly are you asking? Are you concerned about sexual function? Or do you feel guilty about sexual activity? From a Western medical perspective, there is

Sorrow - The Devil in the Heart

I started having sexual intercourse from November 2009 to January 2010, almost every day (cohabiting).
Sometimes, I would engage in intercourse up to three times a day, with the duration ranging from 10 to 40 minutes.
However, now that I am separated from my girlfriend during the winter break, I have noticed that I am unable to achieve spontaneous erections.
In the past, I would respond to erotic images or fantasies, but now I only experience erections in the morning or during sexual dreams.
I do not have spontaneous erections during the day, but when my girlfriend is around, I do get erections, which leads to sexual intercourse.
I used to have regular masturbation habits, but now I have lost that desire, and my sexual arousal has significantly decreased.
I have experienced a few instances where my erection was not as firm as it used to be, and there have been 2 to 3 occasions where I lost my erection during intercourse.

I am concerned that at my age, I might be experiencing some medical condition.
Previously, I would get an erection just by touching my glans, but now there is no response unless my girlfriend is present.
Moreover, the sensation during intercourse seems to be diminishing; it feels more like I am engaging in sex for the sake of it rather than out of desire.
I used to associate erections with the desire to have sex, but now I realize that an erection is just a physiological response, not necessarily linked to desire.
I deeply regret this and have started to feel insecure.
It has only been six days since my last sexual encounter, and I still cannot control my erections freely.

I am very scared, which is causing me sleepless nights, and I am forcing myself to run at the playground every day.
Should I see a urologist? I am only 19 years old.
If I do see a urologist, how much will it cost, including the consultation fee?

Ke lian de ren, 10~19 year old female. Ask Date: 2010/02/02

Dr. Xu Weikai reply Urology

Poor person: After reading your description over and over, I really can't see the main point you're trying to make.
What exactly are you asking? Are you concerned about sexual function? Or do you feel guilty about sexual activity? From a Western medical perspective, there is no such thing as excessive sexual activity; this concept is only addressed in Traditional Chinese Medicine.
You can see a urologist, and health insurance can cover the costs, as long as you pay the registration fee (which varies by hospital) and a portion of the expenses (depending on the hospital's level, such as 80 NTD for a regional hospital).

Reply Date: 2010/02/02

More Info

Erectile dysfunction (ED) is a condition that can affect men of all ages, including young men like yourself. Your experience of having difficulty achieving spontaneous erections, especially when separated from your girlfriend, is not uncommon and can be attributed to various psychological and physiological factors.

Firstly, it’s important to understand that sexual arousal is a complex interplay of physical, emotional, and psychological factors. In your case, the change in your sexual function could be linked to several aspects:
1. Psychological Factors: Anxiety and stress can significantly impact sexual performance. The pressure you feel about your erectile function, combined with the fear of not being able to perform, can create a cycle of anxiety that further exacerbates the issue. This is often referred to as performance anxiety, where the worry about sexual performance leads to difficulties in achieving or maintaining an erection.

2. Relationship Dynamics: The change in your relationship status, such as being apart from your girlfriend, can also affect your sexual desire and arousal. Emotional intimacy plays a crucial role in sexual function, and being physically separated from a partner can lead to feelings of loneliness or anxiety, which can diminish sexual desire.

3. Physiological Factors: While you are young, it’s still possible for physiological issues to contribute to erectile dysfunction. Hormonal imbalances, blood flow issues, or even the side effects of medications can play a role. However, given your age, it’s more likely that psychological factors are at play.

4. Lifestyle Factors: Your mention of running and trying to stay active is a positive step. Regular physical activity can improve overall health and blood circulation, which is beneficial for sexual function. However, excessive stress or changes in routine can also affect your libido and erectile function.

Given your concerns, it would be wise to consult a healthcare professional. A urologist or a sexual health specialist can provide a thorough evaluation to rule out any underlying medical conditions. They can also guide you through potential treatment options, which may include therapy for anxiety, lifestyle changes, or even medication if necessary.

In terms of cost, visiting a specialist can vary depending on your location and healthcare system. It’s advisable to check with your local healthcare providers or insurance to understand the costs involved, including consultation fees.

Additionally, consider seeking support from a mental health professional. Therapy can help address performance anxiety, relationship issues, and any underlying emotional concerns you may have. Cognitive-behavioral therapy (CBT) is particularly effective for managing anxiety and can help you develop healthier coping strategies.

Lastly, remember that sexual health is an important aspect of overall well-being, and seeking help is a positive step towards understanding and improving your situation. You are not alone in this struggle, and many young men experience similar challenges. Open communication with your partner about your feelings and concerns can also foster intimacy and support as you navigate this phase of your life.

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

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