Erectile dysfunction
Hello, Dr.
Hsu.
Since I was in junior high school, I have often forced myself to achieve ejaculation without erection because I enjoyed the pleasure and stress relief from masturbation.
This continued until about six years ago when I started to improve.
However, I then noticed that I was unable to achieve a normal erection, or to put it another way, the hardness of my erections was insufficient, and they would soften quickly.
I have consulted two or three traditional Chinese medicine practitioners, and they all said there was no problem.
Could this be a psychological issue, or is there a neurological problem? Occasionally, when I drink too much water, I still have morning erections, but they do not last long.
I am getting married soon, and I am very concerned that this will affect my married life.
kevin, 30~39 year old female. Ask Date: 2013/02/20
Dr. Xu Weikai reply Urology
Kevin: Hello, do you have an exercise routine? It is recommended to engage in at least 15-30 minutes of exercise daily, ideally to the point of sweating.
You may consider undergoing some tests, such as penile blood flow studies, ultrasound, male hormone levels, and nocturnal penile tumescence tests.
If you have any further questions, feel free to ask, and we can discuss and research together.
Information from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2013/02/20
More Info
Erectile dysfunction (ED) is a common issue that can affect men of all ages, and it can stem from a variety of physical and psychological factors. Understanding the causes of ED is crucial for finding effective solutions and improving sexual health.
Causes of Erectile Dysfunction
1. Psychological Factors: Anxiety, stress, and depression can significantly impact sexual performance. If you have a history of compulsive masturbation or have conditioned your body to respond to specific stimuli, this can create performance anxiety. The fear of not being able to achieve or maintain an erection can lead to a cycle of anxiety that exacerbates the problem.
2. Physical Factors: Various medical conditions can contribute to ED, including diabetes, hypertension, cardiovascular diseases, and hormonal imbalances. Even if traditional medical evaluations, such as pulse checks by practitioners, indicate no immediate issues, underlying conditions might still exist.
3. Neurological Issues: Nerve damage from conditions like diabetes or injuries can affect the signals between the brain and the penis, leading to difficulties in achieving or maintaining an erection.
4. Lifestyle Factors: Habits such as smoking, excessive alcohol consumption, and lack of physical activity can also contribute to ED. These factors can impair blood flow and nerve function, both of which are essential for achieving an erection.
5. Medications: Some medications can have side effects that include ED. If you are taking any medications, it’s worth discussing with your healthcare provider to see if they could be contributing to your symptoms.
Solutions for Erectile Dysfunction
1. Consult a Healthcare Provider: It’s essential to have a thorough evaluation by a healthcare professional who specializes in sexual health. They can help identify any underlying medical conditions that may be contributing to your ED.
2. Psychological Counseling: If anxiety or stress is a significant factor, speaking with a therapist or counselor can be beneficial. Cognitive-behavioral therapy (CBT) has been shown to help many men overcome performance anxiety and improve sexual function.
3. Lifestyle Changes: Adopting a healthier lifestyle can have a positive impact on erectile function. This includes regular exercise, a balanced diet, quitting smoking, and limiting alcohol intake. These changes can improve blood flow and overall health, which are vital for sexual performance.
4. Medications: There are several medications available that can help with ED, such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis). These medications work by increasing blood flow to the penis and can be effective for many men.
5. Alternative Therapies: Some men find success with alternative treatments, such as acupuncture or herbal supplements. However, it’s crucial to discuss these options with a healthcare provider to ensure they are safe and appropriate for your situation.
6. Communication with Partner: Open communication with your partner about your concerns can help reduce anxiety and improve intimacy. Understanding and support from your partner can alleviate some of the pressure you may feel during sexual encounters.
Conclusion
Erectile dysfunction can be a complex issue with multiple contributing factors. It’s important to approach the problem holistically, considering both physical and psychological aspects. Seeking professional help, making lifestyle changes, and maintaining open communication with your partner can significantly improve your sexual health and overall well-being. If you are concerned about how ED may affect your future marriage, addressing these issues proactively can lead to a more fulfilling sexual relationship.
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