Exactly so, but more often they appear in men over 40 years old. The condition in which an erection cannot be achieved or maintained during sex is called erectile dysfunction by doctors. According to international studies, 16% of men from 20 to 75 years old face it. Some Russian studies show that only 10% of people of this age have no problems with potency. What is the reason and what to do? We understand together with the portal about men’s health ahealthyman.
Why is this happening?
The reasons can be very different. The fact is that an erection is a complex process, it involves hormones, nerves, muscles, blood vessels and, of course, emotions. Problems with any item on this list can lead to erectile dysfunction. Also, chronic diseases and conditions such as diabetes, arterial hypertension, atherosclerosis and many others lead to difficulties with an erection. Quite often the reason lies on the surface: for example, excessive alcohol consumption, anxiety and chronic stress can cause erectile dysfunction.
Does stress really affect your erection? Isn’t that a myth?
No, this is not a myth. Chronic stress, anxiety and depression can trigger the development of erectile dysfunction. In such a case, erection problems usually happen from time to time. For example, a morning erection remains, but it cannot be achieved with a partner. Sometimes a small episode of physical ailment can cause anxiety and further lead to erectile dysfunction, which only briefly slows down the sexual response and does not in itself lead to erectile problems.
Is it possible to somehow cope with the problem on my own? Or go to the doctor right away?
You can do it yourself, but not always. For example, the UK’s National Health Service recommends drinking no more than 112 grams of alcohol per week – and not all at once. Plus, you should give up the bike for a while – if you ride more than three hours a week. Doctors also recommend regular exercise, especially moderate to vigorous aerobic activity such as brisk walking, running, and soccer. But it is not worth treating yourself with the help of medicines and dietary supplements.
It is important to see a doctor if general advice does not help, or if:
Erection problem occurs over and over again
Accompanied by premature ejaculation
Occurs with diabetes, cardiovascular disease, or chronic kidney disease
Disturbed by other symptoms along with erectile dysfunction
Got it. Which doctor should I go to? / H3>
You can start with a visit to the urologist. In addition, in some cases, it may be necessary to consult a therapist (general practitioner), endocrinologist, cardiologist, sexologist.
What treatment can a doctor prescribe?
The appointment will depend on the causes and factors that led to the development of the erection problem. For example, if erectile dysfunction is a consequence of hypertension, your doctor may suggest medications to lower your blood pressure. For chronic stress, anxiety, and depression, he may recommend psychotherapy (such as cognitive-behavioral therapy) and antidepressants. In addition, there are a number of drugs that are intended to directly treat erectile dysfunction – type 5 phosphodiesterase inhibitors. But in each case, only a doctor can prescribe the optimal treatment.