Erectile Dysfunction: Causes, Symptoms, and Solutions

Q: Erectile Dysfunction: Causes, Symptoms, and Solutions

S： Hello. 1. Erectile dysfunction needs to be confirmed using specialized instruments. It is recommended to seek medical attention as soon as possible for relevant medical diagnosis. 2. The simplest solution is to engage in regular exercise, especially moderat

Erectile dysfunction

Hello Doctor: During intimate moments with my boyfriend, I observed that he seems to have erectile dysfunction, although I'm not entirely sure.
Here are the details: My boyfriend is 29 years old.
Before intimacy, he appears excited and has the desire, but when I touch him or perform oral sex, there is no response.
Sometimes, his penis does become erect, but it is not firm enough, or the erection does not last long, often becoming soft midway through.
He does not exercise regularly and does not have a habit of frequent masturbation.
When I asked him if he has experienced this before, he said no.
I have researched this issue and found that it is often caused by organic problems.
He mentioned that he used to masturbate frequently but has stopped this habit for about two years.
I would like to ask: 1.
Based on the above, does he exhibit symptoms of erectile dysfunction? 2.
If so, what are the ways to improve this condition? Can dietary supplements help? 3.
Could his previous high frequency of masturbation have led to benign prostatic hyperplasia? (Note: I have observed that he urinates smoothly without difficulty or frequent urination.) 4.
What kind of tests are needed to diagnose benign prostatic hyperplasia? Thank you.

S, 20~29 year old female. Ask Date: 2014/02/21

Dr. Xu Weikai reply Urology

S: Hello.
1.
Erectile dysfunction needs to be confirmed using specialized instruments.
It is recommended to seek medical attention as soon as possible for relevant medical diagnosis.
2.
The simplest solution is to engage in regular exercise, especially moderate to high-intensity workouts.
As for dietary supplements, I am not sure.
3.
Benign prostatic hyperplasia (BPH) is unlikely to occur at your boyfriend's age; it is a condition that would typically be considered in 20-30 years.
4.
BPH is usually considered in individuals over the age of 55.
Note: Prostate examination can be performed through specialized ultrasound and digital rectal examination for diagnosis.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only serve as a reference; if necessary, it is best to visit a medical institution.
This message is from the Urology Department, Taitung Hospital, Ministry of Health and Welfare, expressing concern for you.
Response by Dr.
Hsu Wei-Kai, Chief of Urology.

Reply Date: 2014/02/21

More Info

Erectile dysfunction (ED) is a common condition that can affect men of all ages, including younger men like your boyfriend. Based on your observations and the details you've provided, it seems that he may indeed be experiencing symptoms consistent with erectile dysfunction. Let's break down your questions and provide some insights into the causes, symptoms, and potential solutions for ED.

1. Does he have symptoms of erectile dysfunction?
Yes, the symptoms you've described—difficulty achieving a firm erection, a lack of response during sexual stimulation, and the inability to maintain an erection—are indicative of erectile dysfunction. ED can manifest in various ways, including difficulty getting an erection, trouble maintaining an erection during sexual activities, or a decrease in sexual desire. It's important to note that occasional difficulties with erections can be normal, but if these issues persist over time, it may warrant further evaluation.

2. What are the ways to improve erectile dysfunction?
There are several approaches to managing and potentially improving erectile dysfunction. Lifestyle changes can play a significant role. Encouraging your boyfriend to engage in regular physical activity, maintain a healthy diet, and manage stress can be beneficial. Foods rich in antioxidants, healthy fats, and vitamins (such as fruits, vegetables, nuts, and fish) may support overall vascular health, which is crucial for erectile function.

Additionally, psychological factors such as anxiety or stress can contribute to ED. Open communication between partners can help alleviate performance anxiety and improve intimacy. If lifestyle changes alone do not yield improvements, there are medical treatments available, including oral medications like phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis), which can enhance blood flow to the penis and facilitate erections.

3. Could his previous high frequency of masturbation lead to prostate enlargement?
While frequent masturbation is generally considered a normal sexual behavior and is not directly linked to prostate enlargement, it is important to understand that prostate health can be influenced by various factors, including age, genetics, and overall health. Prostate enlargement, or benign prostatic hyperplasia (BPH), typically occurs in older men and is characterized by urinary symptoms such as difficulty urinating, increased frequency, or urgency. Since you mentioned that he does not experience urinary difficulties, it is less likely that his previous masturbation habits are related to any prostate issues.

4. What tests are needed to diagnose prostate enlargement?
To diagnose benign prostatic hyperplasia or other prostate-related issues, a healthcare provider may perform several evaluations. These can include a digital rectal exam (DRE) to assess the size and condition of the prostate, a urine flow test to measure the strength and amount of urine flow, and possibly a prostate-specific antigen (PSA) blood test to rule out prostate cancer. Imaging studies, such as an ultrasound, may also be utilized in certain cases to evaluate the prostate's size and structure.

In conclusion, it is essential for your boyfriend to consult a healthcare professional for a thorough evaluation of his symptoms. A healthcare provider can help determine the underlying causes of his erectile dysfunction and recommend appropriate treatment options. Open communication about sexual health is crucial, and seeking help can lead to effective management and improved quality of life.

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