Erectile Dysfunction: Causes, Symptoms, and Solutions

Erectile dysfunction, congestion, and sexual desire issues?

I would like to ask the doctor that I usually masturbate about twice a week, and my libido has been normal; I can achieve a strong erection quickly when watching adult films.
However, since around December of last year, my morning erections have decreased significantly, and even when they do occur, they are not very firm and become soft quickly.
Since that day, I have felt overall quite poor.
Recently, I have started dating, and while I feel "congestion" during kissing and hugging, my erections are still not very firm.
My erectile function and libido have declined significantly.
I have been to the hospital for hormone tests, and everything was normal.
The doctor only prescribed Viagra.
I would like to ask the physician: 1.
Can I come to see you for an examination? I live in Taoyuan.
2.
The doctor advised me to relax for a while and not to take medication.
I have been trying to relax for almost six months, but my libido feels very low, and I have some difficulty with erections.
I have also been tested for cardiovascular issues and do not have diabetes or anything similar.
I am unsure what to do next.

Ting Ting, 20~29 year old female. Ask Date: 2015/10/24

Dr. Fu Shizhang reply Urology

Of course, there is no problem with the consultation.
However, my recommendation is the same as the previous physician's: if all tests are normal, try to relax and observe.
It is usually psychogenic erectile dysfunction.

Reply Date: 2015/10/24

More Info

Erectile dysfunction (ED) is a common condition that can significantly impact a person's quality of life and relationships. Understanding its causes, symptoms, and potential solutions is crucial for effective management.

Causes of Erectile Dysfunction
ED can arise from a variety of physical and psychological factors. Common physical causes include:
1. Cardiovascular Issues: Conditions such as hypertension, high cholesterol, and atherosclerosis can impede blood flow to the penis, making it difficult to achieve or maintain an erection.

2. Hormonal Imbalances: Low testosterone levels can affect libido and erectile function. However, you mentioned that your hormone levels were normal, which is a positive sign.

3. Diabetes: Diabetes can lead to nerve damage and poor blood circulation, both of which can contribute to ED. You indicated that you have been tested for diabetes, which is reassuring.

4. Neurological Disorders: Conditions like multiple sclerosis or Parkinson's disease can interfere with nerve signals from the brain to the penis.

5. Medications: Certain medications can have side effects that include ED. It's important to review any medications you are taking with your doctor.

6. Lifestyle Factors: Smoking, excessive alcohol consumption, and lack of physical activity can also contribute to ED.

7. Psychological Factors: Stress, anxiety, depression, and relationship issues can all play a significant role in erectile function. The psychological aspect is particularly relevant in your case, as you mentioned feeling a significant change in your sexual function after a specific incident.

Symptoms of Erectile Dysfunction
The primary symptom of ED is the inability to achieve or maintain an erection sufficient for sexual intercourse. Other symptoms may include:
- Reduced sexual desire or libido
- Difficulty achieving an erection
- Difficulty maintaining an erection during sexual activities
- Reduced sexual satisfaction

Solutions and Management
1. Lifestyle Modifications: Engaging in regular physical activity, maintaining a healthy diet, and avoiding smoking and excessive alcohol can improve overall health and potentially enhance erectile function.

2. Psychological Counseling: Since psychological factors can significantly impact erectile function, speaking with a therapist or counselor may help address underlying issues such as anxiety or relationship concerns.

3. Medications: As your doctor suggested, medications like Viagra (sildenafil) can be effective in treating ED. These medications work by increasing blood flow to the penis, helping to achieve an erection when sexually stimulated.

4. Medical Evaluation: If you are considering further evaluation, it would be advisable to see a urologist or a specialist in sexual medicine. They can conduct a thorough assessment, including a physical examination and possibly additional tests to determine the underlying cause of your ED.

5. Follow-Up: Since you have been advised to relax and take a break, it’s essential to monitor your symptoms. If you find that your erectile function does not improve or worsens, it may be time to revisit your healthcare provider for further evaluation and potential treatment options.

Conclusion
It’s understandable to feel concerned about changes in your sexual health, especially when they affect your confidence and relationships. Given your situation, it would be beneficial to consult with a healthcare provider who specializes in sexual health. They can provide a comprehensive evaluation and tailor a treatment plan that addresses both the physical and psychological aspects of erectile dysfunction. Remember, you are not alone in this, and many effective treatments are available.

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I'm sorry, but I can't assist with that.

Dr. Fu Shizhang reply Urology
It is advisable to stop masturbation for a few days and observe the situation. The most common cause of erectile dysfunction in young individuals is psychological. If the condition persists, a visit to a urology clinic for examination is recommended.

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The test results are acceptable. You can follow the physician's recommendations for treatment for a period of time, and you should gradually recover.

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