Erectile Dysfunction: Causes and Solutions for Men

Q: Erectile Dysfunction: Causes and Solutions for Men

Xiao Hua： Hello, it should not have any impact. <br>Of course, psychological factors could also be a possibility. <br>For now, let's just observe for a while. <br>If there is no improvement, it is still recommended to seek further detailed treatment (Note： usually only medical ce

Inability to achieve penile erection?

Hello Doctor: Thank you for your response.
I do not have any bad habits such as smoking, drinking, or betel nut chewing.
I do not engage in exercise, but I remember that during periods of inactivity in the past, my condition was still good.
I would like to provide additional information regarding aspects that were not mentioned.
In the past, I did not have any partners or experiences with masturbation; I only used adult films or imagination.
I did not experience ejaculation and did not pay special attention to my erection status.
However, I recall often needing to adjust my jeans due to frequent erections.
Recently, after my first sexual experience, I did ejaculate but noticed what seems to be erectile insufficiency (it feels less firm than before), which prompted me to pay more attention.
I have found that over the past few days, my morning erections and self-stimulation have been declining, and recently, even when I have sexual desire, I am unable to achieve an erection.
I consulted a urologist who mentioned that such conditions can fluctuate and may be related to psychological stress, suggesting that it should improve over time.
They prescribed MESYREL 50MG and sent me home.
I recall a recent incident where I experienced excessive erection that caused lower abdominal pain, which lasted for several days before subsiding.
Additionally, I have recently noticed pain when pressing on both sides of my lower back.
I am unsure if this phenomenon is related, and I would appreciate your assistance in evaluating it.
Thank you.

Xiao Hua, 20~29 year old female. Ask Date: 2014/07/17

Dr. Xu Weikai reply Urology

Xiao Hua: Hello, it should not have any impact.
Of course, psychological factors could also be a possibility.
For now, let's just observe for a while.
If there is no improvement, it is still recommended to seek further detailed treatment (Note: usually only medical centers have the relevant equipment).
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet can only serve as a reference; if necessary, it is important to visit a medical institution for treatment.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/07/17

More Info

Erectile dysfunction (ED) is a complex issue that can stem from a variety of physical and psychological factors. Understanding the underlying causes and potential solutions is crucial for effective management. Based on the information provided, let's explore the possible reasons for your symptoms and discuss some strategies for improvement.

Causes of Erectile Dysfunction
1. Psychological Factors: Anxiety, stress, and depression can significantly impact sexual performance. The pressure to perform, especially after experiencing a new sexual encounter, can lead to performance anxiety, which may hinder your ability to achieve or maintain an erection. It’s not uncommon for men to experience fluctuations in erectile function, particularly after a significant life event, such as your first sexual experience.

2. Physical Factors: Various physical conditions can contribute to ED. These include hormonal imbalances, vascular issues, and nerve damage. Given your mention of discomfort in the lower abdomen and pain in the lower back, it’s essential to consider whether these symptoms might be related to a physical condition affecting your reproductive health. Conditions such as pelvic floor dysfunction or even issues related to the spine can influence erectile function.

3. Lifestyle Factors: Although you mentioned not having any harmful habits like smoking or excessive drinking, lifestyle choices still play a role. Regular physical activity is essential for maintaining good blood circulation, which is crucial for erectile function. Lack of exercise can lead to reduced cardiovascular health, which can impact your ability to achieve an erection.

4. Medication Effects: The medication you were prescribed, Mesyrel (which contains the active ingredient trazodone), is primarily an antidepressant that can have side effects, including sexual dysfunction. If you notice a correlation between starting this medication and your ED symptoms, it’s worth discussing with your healthcare provider.

Solutions and Recommendations
1. Address Psychological Factors: Consider speaking with a mental health professional who specializes in sexual health. Cognitive-behavioral therapy (CBT) can help address performance anxiety and improve your confidence regarding sexual encounters. Mindfulness and relaxation techniques may also be beneficial in reducing anxiety.

2. Physical Health Check: Since you have reported discomfort in your lower abdomen and back, it would be prudent to undergo a thorough medical evaluation. This could include blood tests to check hormone levels, a physical examination, and possibly imaging studies to rule out any underlying conditions that might be contributing to your symptoms.

3. Lifestyle Modifications: Incorporate regular exercise into your routine. Aim for at least 150 minutes of moderate aerobic activity each week. Activities like walking, jogging, swimming, or cycling can improve cardiovascular health and enhance blood flow, which is vital for erectile function. Additionally, consider a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to support overall health.

4. Medication Review: If you suspect that your current medication may be contributing to your erectile dysfunction, consult your prescribing physician. They may be able to adjust your dosage or switch you to a different medication that has fewer sexual side effects.

5. Open Communication: If you have a partner, open communication about your experiences and feelings can alleviate some of the pressure you may be feeling. Discussing your concerns can foster understanding and support, which can be beneficial for both of you.

6. Patience and Monitoring: It’s important to remember that fluctuations in erectile function can be normal, especially during times of stress or after significant life changes. Keep track of your symptoms and any patterns you notice, and be patient with yourself as you work through these challenges.

Conclusion
Erectile dysfunction can be a multifaceted issue, often involving a combination of psychological and physical factors. By addressing both aspects, you can work towards improving your sexual health. Regular follow-ups with your healthcare provider will also ensure that any underlying conditions are managed appropriately. Remember, you are not alone in this experience, and seeking help is a positive step towards regaining confidence and function.

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