Should You See a Urologist for Erection Concerns? - Urology

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Should I seek medical attention?


Hello: In the past, I would get an erection when I saw some erotic images, but recently I haven't felt much.
When I watch adult films, I do get hard, but shortly after turning it off, I start to lose my erection.
Should I seek medical attention for this? How should I approach the doctor about it?

Xiao Nai, 20~29 year old female. Ask Date: 2015/08/13

Dr. Xu Weikai reply Urology


Xiaonai: Hello, please explain your condition honestly.
If you have any concerns, you can visit a nearby medical facility for relevant tests.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is still important to seek medical care at a healthcare institution.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/13

More Info


When it comes to concerns about erectile function, it's important to recognize that these issues can be both common and complex. If you're experiencing changes in your ability to maintain an erection, especially if this is a new development, it may be beneficial to consult a urologist. Urologists specialize in male reproductive health and can provide insights into both physical and psychological factors that may be affecting your erectile function.

Erectile dysfunction (ED) can stem from a variety of causes, including hormonal imbalances, vascular issues, psychological factors such as anxiety or depression, and lifestyle choices like smoking or excessive alcohol consumption. Given that you mentioned a change in your response to sexual stimuli, it’s crucial to consider both physical and emotional aspects.
Before your appointment, it might be helpful to keep a journal of your symptoms. Note when the changes occur, any patterns you observe, and any other symptoms you may be experiencing. This information can provide valuable context for your urologist.
When you visit the urologist, you can start the conversation by being straightforward about your concerns. You might say something like, "I've noticed some changes in my ability to maintain an erection, and it's been bothering me." This approach opens the door for the doctor to ask further questions and guide the conversation. Remember, urologists are accustomed to discussing sensitive topics, and they will likely appreciate your honesty.

During the consultation, the urologist may ask about your medical history, any medications you are taking, and your lifestyle habits. They might also perform a physical examination and possibly recommend tests to rule out underlying conditions such as diabetes, heart disease, or hormonal imbalances.
In terms of treatment, options vary widely depending on the underlying cause of the erectile dysfunction. They may include lifestyle changes, counseling for psychological factors, medications such as phosphodiesterase type 5 inhibitors (like Viagra or Cialis), or even more advanced treatments if necessary.

It's also worth noting that erectile dysfunction can sometimes be a sign of more serious health issues, such as cardiovascular disease. Therefore, addressing these concerns with a healthcare professional is not only about improving sexual function but also about ensuring overall health.

In conclusion, if you're experiencing changes in your erectile function, seeing a urologist is a prudent step. They can help identify the underlying causes and recommend appropriate treatments. Remember, you are not alone in this, and many men experience similar issues. Seeking help is a sign of strength and a proactive approach to your health.

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