Erectile Dysfunction at 38: Common Concerns and Solutions

Q: Erectile Dysfunction at 38: Common Concerns and Solutions

Chris： Hello! 1. Currently, there is no specific time limit for the long-term use of Viagra. 2. Nocturnal erections simply indicate that your bladder is full, which stimulates the erectile nerves. That's all there is to it. 3. Weather can indeed have an im

I would like to ask the doctor again about age-related issues?

Hello, Dr.
Hsu.
I apologize for reaching out to you again.
I am currently 38 years old and experiencing some sexual dysfunction.
I would like to ask if it is really uncommon to have sexual dysfunction at this age? Six months ago, I was able to have sexual intercourse without medication, but since November of last year, my sexual function has declined significantly.
The cold weather has made it difficult for me to achieve an erection.
I do experience nocturnal erections, but not every night.
I have them about three times a week, but when I am close to waking up, I lose the erection.
I currently have a partner, and I need to take 50 mg of Viagra to have intercourse, but we are not married yet, and I am concerned that this may lead to a breakup.
I plan to see a doctor next week, but before that, I would like to consult you on a few questions:
1.
Does the use of Viagra harm other organs in the body? How long can it be taken safely?
2.
Is having nocturnal erections every day considered normal, or is having them two to three times a week also normal?
3.
Is it normal to be unable to achieve an erection in cold weather? (I used to be able to achieve an erection in cold weather, but now I feel completely powerless.)
Thank you, and I apologize for asking you again.

CHRIS, 30~39 year old female. Ask Date: 2012/03/19

Dr. Xu Weikai reply Urology

Chris: Hello! 1.
Currently, there is no specific time limit for the long-term use of Viagra.
2.
Nocturnal erections simply indicate that your bladder is full, which stimulates the erectile nerves.
That's all there is to it.
3.
Weather can indeed have an impact on erections.
Additionally, I recommend addressing the root causes, such as engaging in regular exercise, which can lead to more lasting improvements.
The effects are truly significant.
If you have any further questions, feel free to ask, and we can discuss and research together.
Answers found online should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, who cares about your well-being.

Reply Date: 2012/03/19

More Info

Erectile dysfunction (ED) at the age of 38 is indeed a concern that many men face, and it is not as uncommon as one might think. While ED is often associated with older age, younger men can also experience it due to a variety of factors, including psychological, physiological, and lifestyle influences. Let's address your specific concerns and questions regarding your situation.

1. Use of Viagra (Sildenafil): Viagra is a phosphodiesterase type 5 (PDE5) inhibitor that helps increase blood flow to the penis, facilitating an erection when sexually stimulated. Generally, Viagra is considered safe for most men when used as directed. However, long-term use should be monitored by a healthcare provider, especially if you have underlying health conditions such as cardiovascular disease, liver or kidney issues, or if you are taking other medications that may interact with Viagra. There is no strict time limit on how long you can use Viagra, but regular check-ups with your doctor are essential to ensure that it remains safe and effective for you.

2. Nighttime Erections: The presence of nighttime or morning erections (nocturnal penile tumescence) is a positive sign that indicates your body is capable of achieving erections. It is normal for men to experience these erections several times a week, and the frequency can vary widely among individuals. If you are experiencing them a few times a week, it suggests that your erectile function may have a physiological basis rather than being purely psychological. However, if these occurrences diminish significantly, it may warrant further investigation.

3. Cold Weather and Erectile Function: It is not uncommon for men to experience changes in erectile function due to environmental factors, including temperature. Cold weather can lead to vasoconstriction, which is the narrowing of blood vessels, potentially affecting blood flow to the penis. However, if you previously had no issues with cold weather and are now experiencing difficulties, it could indicate an underlying issue that may need to be addressed. Factors such as stress, anxiety, or even hormonal changes can also play a role in erectile function.

Given your situation, it is commendable that you are planning to see a doctor. A healthcare professional can conduct a thorough evaluation, including a physical examination and possibly blood tests, to assess hormone levels, blood sugar, cholesterol, and other factors that could contribute to ED. They may also explore psychological factors, as stress and anxiety can significantly impact sexual performance.

In addition to medical treatment, consider lifestyle modifications that can improve your overall health and potentially enhance erectile function. Regular exercise, a balanced diet, maintaining a healthy weight, reducing alcohol consumption, and quitting smoking can all contribute positively to sexual health.

Lastly, communication with your partner is crucial. Discussing your concerns and experiences can alleviate some of the anxiety surrounding sexual performance and strengthen your relationship.

In summary, while experiencing erectile dysfunction at 38 can be concerning, it is not uncommon. Viagra can be a helpful solution, but it is essential to use it under medical supervision. Nighttime erections are a good sign, and environmental factors like cold weather can affect erectile function. Seeking medical advice is the best course of action to address your concerns comprehensively.

Similar Q&A

Understanding Erectile Dysfunction: Causes, Treatments, and Solutions

Although I have reached the age of hearing, my body is still healthy. Friends and family often say I look like I'm in my 40s or 50s. I am still very enthusiastic about my sex life, but in the past six months, I have been experiencing difficulties during intercourse. The main...

Dr. Chen Xiuyi reply Urology
Hello: Erectile dysfunction can be categorized into psychological, organic (which includes three main types: vascular, neurological, and endocrine, with vascular issues being the most common), and medication-related causes. Based on your description, it is likely due to vascular ...

Addressing Erectile Dysfunction: Causes, Treatments, and Concerns

Hello Doctor, since last August, I have been experiencing issues with insufficient rigidity during sexual intercourse, and the sensitivity during erection has become quite dull. I can still complete the act as long as there is continuous stimulation, but if I get distracted, I lo...

Dr. Xu Wencang reply Urology
The test results are acceptable. You can follow the physician's recommendations for treatment for a period of time, and you should gradually recover.

Understanding and Addressing Erectile Dysfunction in Young Men: A Comprehensive Guide

Hello, doctor. I previously asked a question this morning. My earlier inquiry was: Although I am only 26 years old, I have been experiencing erectile dysfunction for many years. During middle school, my erections were consistently strong and normal. However, starting from a certa...

Dr. Xu Weikai reply Urology
Mr. Lee: Hello, the blood flow to the penis is quite normal. Perhaps it is just your concern. If you feel that there is insufficient rigidity, you can perform a penile tumescence test to assess hardness. However, based on the ultrasound results, it should be able to maintain norm...

Understanding and Treating Incomplete Erections: A Guide for Better Sexual Health

It sounds like you are experiencing erectile dysfunction and difficulties with sexual performance. This can be caused by a variety of factors, including psychological issues, stress, anxiety, or physical health conditions. Here are some steps you can consider for treatment: 1. *...

Dr. Lin Hexing reply Urology
Hello, based on your description, it seems you are experiencing erectile dysfunction. Since you are not yet married and are still in school without a stable income, it may be too early to seek out pleasurable sexual experiences at your age. Focusing on improving your physical fit...