Erectile Dysfunction In Fit And Healthy Young Men: Psychological Or Pathological?

Nevertheless, endocrinopathies probably account for up between 3-6% of all organic erectile dysfunction and those endocrinopathies that may lead to impotence include hypogonadism, hypothyroidism, hyperthyroidism, hyperprolactinemia, diabetes mellitus, adrenal disorders, chronic liver disease, chronic renal failure and AIDS.

Having learned a great deal more about erectile dysfunction including its risk factors and causes, you should be equipped to assess your own erectile function. As well as helping to improve your erectile dysfunction, these changes can also improve your general health and may help to reduce your risk of cardiovascular disease (conditions that affect your heart and blood vessels). Experience of sexual dysfunction was more likely among men in poor physical and emotional health.

19 A meta-analysis published in 2020 clearly demonstrated increased efficacy over placebo for all PDE5 inhibitors. Luckily, treating ED and improving your erection quality is achievable, often using natural methods. In general, the healthier you are, the less likely you'll be to have erectile dysfunction. Not one I found funny, though. Other hormones involved in testosterone metabolism or availability, like thyroid stimulating hormone and gonadotropins, also may impact erectile quality, presumably through regulating bioavailable testosterone.

  • Radiation therapy, also used to treat bladder and prostate cancer, may also cause ED.
  • But what — exactly — happens?
  • Your urologist will help determine the most effective course of treatment for your condition.

Hormones are chemicals produced by the body. GoodRx is not available outside of the United States. Guys in the U. This is usually caused by stress, tiredness, anxiety or drinking too much alcohol, and it's nothing to worry about. If you are trying to access this site from the United States and believe you have received this message in error, please reach out to [email protected] “In particular, cocaine use has been linked to a condition called priapism, where an erection lasts for more than four hours. An intra-urethral agent and several versions of medication that is injected directly into the penis are also available. 31,32 For intracorporeal injection, typically alprostadil is tried alone, or compounded with papaverine (nonspecific phosphodiesterase inhibitor that increases intracellular cyclic adenosine monophosphate and cGMP) and/or phentolamine (competitive, non-selective alpha1- and alpha2-adrenoreceptor blocker).

For only 20% of men with ED, the cause is due to a psychological problem or disorder. Psychological impotence is where erection or penetration fails due to thoughts or feelings; this is somewhat less frequent, on the order of about 10% of cases. Ready to start? Microvascular disease associated with diabetes is thought to compound the endothelial and neural injuries associated with this disease. Diabetes can also cause heart disease and other circulatory problems. A physical cause can be identified in about 80% of cases. However, 2 previously approved devices–the OmniPhase and the DuraPhase penile prostheses–are not considered safe in this environment. Pelvic surgery may disrupt both neural and vascular pathways, resulting in ED.


The pharmacy is launching a social media campaign #Whatdoyoucallit in a bid to stamp out the stigma of impotence. Some changes a man can consider include increasing exercise, eating a heart-healthy diet, quitting smoking, and drinking alcohol only in moderation. Psychosexual counselling may take time to work and the results achieved have been mixed. The main side effect of nitroglycerine ointment is that it may give the partner headaches. Some common drugs can cause erectile dysfunction, such as those prescribed for depression, heart conditions and blood pressure. It can be both frustrating and embarrassing for a man to admit to having ED.

In some cases, the psychological cause of erectile dysfunction may stem from childhood abuse or sexual trauma. Diabetes with its related vasculopathy is associated with a higher incidence of impotence at all ages compared to the general population. “You can see pretty scary things with men who use Viagra like prolonged erections even after intercourse,” he said. Why would these men (who are expected to be reaching their sexual peaks) be unable to keep an erection?

This restricts blood flow to the penis and reduces the chance of getting a firm erection. Even worse, because ED is such a private issue, many men feel embarrassed to discuss the problem with their doctor, or even their partner, so the problem is never addressed. Before I began researching this article, I expected it to be a story about sex – or the lack of it. More recently, it has beenn recognized that AIDS has associated with an autonomic neuropathy which may cause neurogenic erectile dysfunction. Sandalwood oil for erectile dysfunction, thus, essential oils for erectile dysfunction can create the proper romantic atmosphere. In fact, for many men, work or life-induced stress and performance anxiety can make enjoying sex far more difficult than it normally would be. It’s a very difficult conversation to have with friends or your religious clergy. For example, serum testosterone (and sometimes prolactin) is typically only useful when the patient demonstrates hypogonadal features or testicular atrophy, or when clinical history is suggestive. Drugs used to treat kidney disease can also cause erectile dysfunction.

  • Graphs representing the color Doppler spectrum of the flow pattern of the cavernous arteries during the erection phases.
  • Hard made easy.
  • Treatment involves addressing the underlying causes, lifestyle modifications, and addressing psychosocial issues.

What Causes Male Pattern Baldness?

Positron emission tomography scanning studies have suggested that sexual arousal is activated in higher cortical centers that then stimulate the medial preoptic and paraventricular nuclei of the hypothalamus. However, penile implants are generally not considered until other more conservative treatments have failed. He said one patient’s wife died in July and each year around this month he has erectile dysfunction problems. Erectile dysfunction can occur at any age, but it is more common in men that are older. In addition, obesity can put physical limitations on sexual intercourse. The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric. There are three essential components of male sexual function:

Also See

Men who drink heavily or use illegal drugs may find that giving up these activities helps their ED. One cause of this problem could be the way that drug companies have deemed having any type of erection trouble unacceptable, said Nicole Prause, a neuroscientist who specializes in sexual behavior in the Guardian. Erectile dysfunction in older men. This sudden influx of blood causes an erection by expanding, straightening and stiffening the penis. Good manual dexterity is also needed to use the device; if manual dexterity is impaired, a willing sexual partner can learn to apply the device.

Psychological factors account for roughly 10 to 20 percent of all erectile dysfunction cases, and even these can sometimes arise as a secondary reaction to an underlying physical cause. Once inserted, an erection can begin within 10 minutes and last up to an hour. One of the first things a young man can do to potentially improve or eliminate ED is make positive choices that will also have an impact on the rest of his life. Discuss any concerns or health conditions you have with your doctor before taking medications for erectile dysfunction.

Recommended for You

Men are reluctant to talk about their bedroom troubles and around one in five said it had led to a break-up or mental health problems. Erection can be induced by injecting 10-20 µg of prostaglandin E1, with evaluations of the arterial flow every five minutes for 25-30 min (see image). High blood pressure, cholesterol, smoking and diabetes can all lead to the narrowing of your blood vessels. Treatment of antidepressant-induced sexual dysfunction, thanks for visiting! The combination of the two substances can have a dangerous effect on your heart. You may have lost interest in sex, or been unable to maintain an erection, or have difficulty with premature ejaculation, or be having difficulty having an orgasm.

In some cases, however, the cause of ED is psychological, including depression, guilt, or anxiety. You may be at a greater risk for erectile dysfunction if you: Specialized sexual therapy is also an option at any time during the treatment for erectile dysfunction. The neurovascular events that ultimately occur result in the inhibition of adrenergic tone and the release of the nonadrenergic, noncholinergic neurotransmitter, nitric oxide. However, if that 'off night' sparks performance anxiety, leading to a pattern of off nights, it's wise to look into getting treatment. Sleep disorders are closely linked to with erection problems, ranging from a reduced interest in sex to erectile dysfunction.

Of particularly concern are antihypertensive medications for CVD (eg, digoxin, disopyramide [Norpace], gemfibrozil [Lopid]), anxiety, depression (eg, lithium, monoamine oxidase inhibitors, selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants), or psychosis (eg, chlorpromazine, haloperidol, pimozide [Orap], thioridazine, thiothixene). Men with low testosterone, erectile dysfunction may improve sexual function with testosterone gels. The band can remain on for approximately 30 minutes and then must be removed. Back pain and myalgia can occur with tadalafil, but are unusual with sildenafil or vardenafil. The most common offenders are blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug).


It’s very important to get to the bottom of what’s causing it. Bradley was on a night out when he got searched by a bouncer, who discovered a Viagra pill in his pocket. A recent study of 2,000 British men found that 50% of those in their 30s reported difficulties in getting and maintaining an erection. In other cases, medications or other direct treatments might be needed. Although 70% of men over the age of 70 are still sexually active, erectile dysfunction does get more likely as you get older. PDE-5 inhibitors can cause some side effects, including: The erection produced by the device differs from a normal erection likely because of venous occlusion from the constriction band resulting in generalized swelling of the entire penis, with probable preservation of arterial inflow.

Erectile Dysfunction

ED is easily and successfully treated! Men in their 20s and 30s are usually in their sexual peak. It may also be considered in: The most common treatments for ED fall into four categories:

  • Keep reading to learn more about this condition and how you can best manage it.
  • Most cases of ED can be treated, and oral medications are often the first step.
  • Neurogenic erectile dysfunction may be caused by disorders such as, stroke, brain and spinal tumors, cerebral infection, Alzheimer’s disease, temporal lobe epilepsy and multiple sclerosis (MS).
  • 17 Because the arteries that supply blood to the penis are much smaller than the ones that feed the heart, the problem may show up earlier as having difficulty getting an erection.
  • Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity.

Continue Learning about Erectile Dysfunction

Do your erections vary under different circumstances, such as with different partners, oral stimulation, or masturbation? The vascular processes that produce an erection are controlled by the nervous system and certain prescription medications may have the side effect of interfering with necessary nerve signals. Among the possible culprits are a variety of stimulants, sedatives, diuretics, antihistamines, and drugs to treat high blood pressure, cancer, or depression. Increased research that focuses on the unique factors related to young men's experiences of ED, including the role of psychological and relational factors, would be of value. Duplex ultrasonography - evaluation of the penile vessels with pharmacological erection; examination of the changes in flow velocities of the cavernosal arteries after injection of a vasoactive agent (PGE1 or papaverine/phentolamine). As long as you have normal skin sensation, you should be able to have an orgasm with the right sexual stimulation.

Overall, the percentage of devices that are free from mechanical failure at 5 years ranges from 84% to 94%.

But you'll have to have a consultation with the pharmacist to make sure it's safe for you to take it. Erectile dysfunction, someone with chronic ED may have an underlying condition they don’t know about, or be experiencing a prolonged psychological issue which stops them from performing. You can then eat after an hour without affecting the medicine. Losing weight, quitting smoking and getting fit may therefore help resolve the problem.

What Is Erectile Dysfunction And How Many Men Have It?

The research has revealed that the largest affected age group of men with erectile dysfunction is men in their thirties. Sometimes increasing testosterone makes the pills work. Will going vegan make your erections harder? It also increases stamina, strength, and flexibility, which are all important in the bedroom. Whether you’re a younger guy suffering from performance anxiety or an older man aiming to improve your after dark performance, implementing these 11 tips could help you see noticeable results. However, for a minority of men the pattern holds.

Still, the male omerta around ED runs deep.

Read More About Male Pattern Baldness

The three are chemically very similar, and all have proven very effective. Human sexual response requires several different body functions to work properly and together: However, there are also some notable differences between what may lead to ED in younger versus older men. Erection is a function of the parasympathetic nervous system, but orgasm and ejaculation are controlled by the sympathetic system. You should not use a vacuum pump if you have a bleeding disorder or if you are taking anticoagulant medicines, which reduce the ability of your blood to clot. Nitric oxide is believed to be released from nonadrenergic, noncholinergic nerves and endothelial cells. Questions should focus on the following:

Inflatable prostheses are complex mechanical devices that imitate the natural process of erection. In addition, regular smoking and alcohol use can contribute to ED. Occasional failure to achieve an erection (less than 20 percent of the time) can occur for a variety of reasons--drinking too much alcohol, for example, or extreme fatigue--and is not considered unusual. 11 tips for a stronger erection, play with his nipples or the back of his neck. Single-phase flow with minimal or absent diastole when the penis is flaccid.

Health News

That’s a striking uptick, and it may well be a contributor to the prevalence of ED among young, physically fit men. The relationship between the PE and ED is bidirectional and successful treatment of one often requires treatment of the other. Patients at high cardiovascular risk should not be treated for ED until their cardiac condition is stabilize. Only take one tablet within a 24-hour period. Sometimes, it’s psychological. Any medical condition that causes injury to the nerves, or impairs blood flow to the penis can cause ED. Erection problems (impotence) are very common, particularly in men over 40.

These pumps should be distinguished from other penis pumps (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation. However, some men do develop a medical condition called erectile dysfunction. If one treatment doesn’t work, another might; but you have to be willing to talk to your doctor about your options. All men experience occasional difficulties with erection, usually related to fatigue, illness, alcohol or drug use, or stress. Please refer to this study by its ClinicalTrials. The diuretic may be withdrawn, but a trial of oral ED therapy can be initiated during the observation period while the patient is waiting to see if any spontaneous improvement in ED occurs after drug withdrawal. So ED symptoms often occur long before more serious problems like a heart attack or stroke.

All About Pregnancy

The satisfaction rate is well over 90 percent, according to Dr. What is less often discussed is the fact younger men can be susceptible too. Chemicals help brain cells communicate to stimulate blood flow to the penis. Once questions related to the specific erectile complaint have been reviewed, additional questions relating to medical history and psychosocial factors need to be evaluated. I hear that a lot. With around 11. 31% have felt a strain on their relationship as a result of their problems. About 5 percent of men that are 40 years old have complete erectile dysfunction, and that number increases to about 15 percent of men at age 70.

Often, as a last resort if other treatments have failed, the most common procedure is prosthetic implants which involves the insertion of artificial rods into the penis.

With sildenafil, vardenafil and avanafil, you should be able to have sex from one to 10 hours after taking the medicine.

Main Menu

The resulting anxiety can lead to or worsen erectile dysfunction. At the same time, dating men with ED has had some unexpected positive side-effects. Today, urologists believe that physical factors underlie the majority of cases of persistent erectile dysfunction in men over age 50. Saline is infused under pressure into the corpus cavernosum with a butterfly needle, and the flow rate needed to maintain an erection indicates the degree of venous leakage.

Share Or Comment On This Article:

Trost notes that while depression often isn’t directly associated with erectile dysfunction, it is commonly linked to low libido, due to how it limits the release of "positive" neurochemicals like dopamine, serotonin, and catecholamines. By talking about the issues, you may be able to reduce any anxiety that you have and overcome your erectile dysfunction. Neurologic (neurologic impairment or dysfunction) - Possible causes include retroperitoneal or pelvic surgery, spinal cord injury, neurologic disease (such as spina bifida, Parkinson's disease, Alzheimer's disease), diabetes mellitus, pelvic trauma, ETOH abuse, stroke and pelvic irradiation.

ED can be caused by one of several medical conditions that reduce blood flow and nerve functioning.

A membrane surrounding the corpora cavernosa (known as the tunica albuginea) traps the blood, sustaining the erection. In the initial evaluation of ED, sophisticated laboratory testing is rarely necessary. The various treatments for erectile dysfunction are outlined below. The MMAS study differed from prior studies in both size and content. 75% of men aged 18-60 who feel pressurised to start a family or have more kids said they experienced erectile dysfunction.

You should never rely upon this article for specific medical advice. Millions of men struggle with it, but shockingly few ever seek treatment. In the meantime, here’s what you should know about erectile dysfunction.

© 2013-2020