Why Can't I Get an Erection After a Long Soak? the Causes - Urology

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Sudden erectile dysfunction?


I went to soak in a hot spring for two to three hours, during which I alternated between hot water, warm water, cold water, and also spent time in the steam room, taking breaks in between.
After soaking, I tried to have sex with my girlfriend but found that I couldn't maintain an erection, which was a bit embarrassing since I usually have no issues.
Why did this suddenly happen? Could it be due to prolonged exposure in the steam room causing oxygen deprivation, or is it related to the alternating hot and cold temperatures? Thank you!

Yaken, 30~39 year old female. Ask Date: 2011/04/03

Dr. Xu Weikai reply Urology


Hello, based on your situation, it is possible that the high temperature, excessive sweating, and significant physical exertion are contributing factors.
In fact, using a sauna can be very physically demanding, and many people find that after a sauna session, they can overcome insomnia and enjoy a restful sleep.
Additionally, the high temperature may be affecting testicular function.

Reply Date: 2011/04/03

More Info


Experiencing difficulty achieving an erection after a long soak in hot water or steam can be concerning and may lead to feelings of embarrassment or anxiety. However, it is important to understand that this phenomenon can occur for a variety of reasons, and it is not uncommon for men to experience temporary erectile dysfunction (ED) under certain circumstances.

One potential explanation for your inability to achieve an erection after soaking in hot water or steam is related to the physiological effects of heat on the body. Prolonged exposure to high temperatures can lead to vasodilation, which is the widening of blood vessels. While this can initially increase blood flow to the skin and extremities, it may also divert blood flow away from the pelvic region, which is essential for achieving and maintaining an erection. Additionally, the heat can cause relaxation of the smooth muscles in the penis, which may further complicate the process of achieving an erection.

Another factor to consider is the impact of temperature changes on your body. Alternating between hot and cold water can cause fluctuations in blood pressure and blood flow. When you expose your body to extreme temperatures, it can lead to a temporary state of shock or stress, which may inhibit your ability to become aroused. The body's response to temperature changes can also affect hormone levels, including testosterone, which plays a crucial role in sexual function.

Moreover, psychological factors can also contribute to erectile dysfunction. If you were feeling anxious or self-conscious about the situation, this could have affected your ability to become aroused. Performance anxiety is a common issue that many men face, and it can create a cycle of stress that makes it even more difficult to achieve an erection. The mind and body are closely connected, and psychological stress can manifest physically, leading to difficulties in sexual performance.

Dehydration is another consideration. Spending a long time in hot water can lead to dehydration, which can affect overall bodily function, including sexual performance. Dehydration can lead to reduced blood volume and lower blood pressure, both of which can impact your ability to achieve an erection.

If this experience was an isolated incident, it may not be a cause for concern. However, if you find that you are consistently having difficulty achieving an erection, it may be worth consulting a healthcare professional. They can help determine if there are underlying medical conditions, such as cardiovascular issues, hormonal imbalances, or psychological factors, that may be contributing to your erectile dysfunction.

In summary, the inability to achieve an erection after a long soak can be attributed to a combination of physiological and psychological factors. Heat exposure, temperature fluctuations, dehydration, and performance anxiety can all play a role in this experience. If this issue persists, seeking medical advice is recommended to rule out any underlying health concerns and to explore potential treatment options. Remember, it is essential to maintain open communication with your partner and to approach the situation with understanding and patience.

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