Erectile Dysfunction: Causes, Effects, and Treatment Options

Q: Erectile Dysfunction: Causes, Effects, and Treatment Options

Hello： 1. This is a normal physiological response that requires continuous stimulation to maintain the rigidity of an erection. 2. It is permissible, but not too frequently. 3. If there is no continuous stimulation and it subsides, it is unrelated to blood lea

Erectile dysfunction

Hello Dr.
Lin, due to time constraints, I have had very little sexual activity in the past.
However, I have recently noticed that during sexual arousal, if there is no stimulation, my erection quickly subsides (within a minute).
The only time I can maintain an erection is with stimulation.
I have a few questions to ask (I have no bad habits or dietary issues):
1.
Could this be a case of erectile dysfunction due to infrequent sexual activity?
2.
Currently, since I have more free time, I am stimulating my penis through masturbation daily, but I do not reach ejaculation; I stop stimulation once I feel the urge to ejaculate.
Does this help with my erectile function?
3.
Is the issue of being able to achieve an erection but losing it quickly related to penile venous leakage?
4.
I have considered taking Viagra, but I still only achieve an erection with stimulation; it quickly subsides without it.
Should I continue taking it?
5.
Does your hospital offer penile ultrasound and penile rigidity testing? Is this covered by health insurance?
6.
Additionally, I experience intermittent pain in my right testicle.
I have been examined at the hospital, and they said the testicle is fine, but could this intermittent pain affect my erectile dysfunction?
I appreciate your time in answering these questions, Dr.
Lin.
Thank you.

Jason, 20~29 year old female. Ask Date: 2012/06/24

Dr. Lin Hexing reply Urology

Hello: 1.
This is a normal physiological response that requires continuous stimulation to maintain the rigidity of an erection.
2.
It is permissible, but not too frequently.
3.
If there is no continuous stimulation and it subsides, it is unrelated to blood leakage from the penis.
4.
Taking Viagra also requires ongoing sexual stimulation to be effective.
5.
I apologize, but our hospital does not have the equipment for penile ultrasound or penile engorgement tests.
Please consult a teaching medical center's urology department, such as Taichung Veterans General Hospital, China Medical University, Chung Shan Medical University, or Changhua Christian Hospital.
6.
No, you will not, please rest assured.

Reply Date: 2012/06/24

More Info

Erectile dysfunction (ED) is a common condition that can affect men of all ages, but it is particularly prevalent among older adults. Understanding the causes, effects, and treatment options for ED is crucial for managing this condition effectively. Based on your questions, let's delve into the various aspects of ED.

1. Causes of Erectile Dysfunction: ED can arise from a multitude of factors, including psychological, physiological, and lifestyle-related issues. In your case, the infrequency of sexual activity may contribute to your current difficulties. While a lack of sexual stimulation can lead to decreased erectile function, it is essential to consider other potential causes such as stress, anxiety, hormonal imbalances, or underlying medical conditions like diabetes or cardiovascular disease.
2. Masturbation and Erectile Function: Engaging in masturbation can indeed help maintain erectile function by promoting blood flow to the penis and keeping the erectile tissues responsive. However, if you are stopping stimulation before ejaculation, it may not fully mimic the physiological responses experienced during sexual intercourse. Regular stimulation, whether through masturbation or sexual activity, can help reinforce the neural pathways involved in achieving and maintaining an erection.

3. Venous Leak and Erectile Dysfunction: The phenomenon of being able to achieve an erection but losing it quickly can be associated with venous leak, where blood flows into the penis but does not remain due to inadequate closure of the veins. This condition can lead to difficulties in maintaining an erection. A thorough evaluation by a healthcare provider, including a penile Doppler ultrasound, can help assess blood flow and identify any vascular issues.

4. Use of Viagra (Sildenafil): Viagra can be effective in treating ED by enhancing blood flow to the penis, but it requires sexual stimulation to work. If you find that you can only achieve an erection with stimulation, it may be beneficial to continue using the medication while also addressing any underlying psychological or physiological factors contributing to your ED. Consulting with your healthcare provider about the effectiveness and any side effects of the medication is advisable.

5. Diagnostic Tests: Penile ultrasound and other diagnostic tests can provide valuable insights into the causes of ED. These tests can assess blood flow and identify any structural abnormalities. Coverage under health insurance can vary, so it is best to check with your healthcare provider or insurance company regarding the specifics of what is included.

6. Testicular Pain and Erectile Dysfunction: While your healthcare provider has indicated that your testicles are healthy, persistent pain can still be a concern. Chronic pain can lead to psychological stress and anxiety, which may indirectly affect erectile function. It is essential to address any ongoing discomfort with your healthcare provider to rule out any underlying issues that could be contributing to your ED.

In summary, erectile dysfunction can be multifactorial, and addressing it often requires a comprehensive approach that includes lifestyle modifications, psychological support, and medical treatment. Regular communication with your healthcare provider is vital to tailor a treatment plan that suits your specific needs. If you have further concerns or symptoms, do not hesitate to reach out for professional advice.

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