Hello there. I am 26 years old guy with 5'9" ht and 79 kg of weight. Previously I used to get a good hard erection but from some days it is not happening I do not get hard erection and even if I have it, it does not stays for long. Me and my partner have tried it but we failed doing so. It was my first time although but I have realised that the things were not the same. Can you pls suggest me what to do or is it because of my weight or something.

Dr. Sajeev KumarGeneral Physician32yrs exp

90% (21577 ratings)

Ask Free Question

Erectile dysfunction (ED) or impotence is condition characterized by the inability to develop or maintain an erection of the penis during sex. A penile erection is the effect of blood entering and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal when signals are transmitted from the brain to nerves in the penis. The most important organic causes are heart disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies and side effects to certain drugs Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but can often be helped. Notably in psychological impotence, there is a strong response to placebo therapy. Erectile dysfunction can have severe psychological consequences as it can be tied to relationship difficulties and masculine self-image generally. Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm, but this is not erectile dysfunction, which is a concern only if satisfactory sexual performance has been impossible on a persistent number of occasions for some time. Broadly, two forms of erectile dysfunction can affect men's sex lives - the main cause is either medical or psychosocial. Here, psychosocial means psychological effects - including the effects of social relationships - on sexual performance. Of course, medical conditions can also affect psychological wellbeing, and while the main cause of sexual impotence will be medical or psychological, there can be overlap between the two. Erectile dysfunction used to be known more widely as'impotence' before the causes became better understood and successful treatments came into use. Impotence is a term that is still in use, however. Signs and symptoms Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. It is analysed in several ways: ?Obtaining full erections at some times, such as night time erecting when asleep (when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working. Other factors leading to erectile dysfunction are diabetsic neuropathy. ?Causes ?Drugs (anti-depressants (SSRIs[6]) and nicotine are most common) ?Neurogenic disorders[7] ?Cavernosal disorders (Peyronie's disease[8]) ?Psychological causes: performance anxiety, stress, and mental disorders[9] ?Surgery[10] ?Aging. It is four times more common in men aged in their 60s than those in their 40s.[11] ?Kidney failure ?Diseases such as diabetes mellitus and multiple sclerosis (MS). While these two causes have not been proven they are likely suspects as they cause issues with both the blood flow and nervous systems. ?Lifestyle: smoking is a key cause of erectile dysfunction.[12][13] Smoking causes impotence because it promotes arterial narrowing.[14] Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Erectile dysfunction is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve erection. ED can also be associated with bicycling due to both neurological and vascular problems due to compression.[15] The increase risk appears to be about 1.7-fold.[16] Fast facts on erectile dysfunction Here are some key points about erectile dysfunction. More detail and supporting information can be given on personal or private chat. Erectile dysfunction is a persistent problem getting an erection sufficient to have sex. ?Causes are usually medical but can also be psychological. ?Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis. ?Numerous prescription drugs, recreational drugs, alcohol and smoking can all be causes, too. ?Diagnosis with the help of a doctor will differentiate the likely cause by including a number of questions, blood tests for conditions such as diabetes and heart disease, and physical examination. ?First-line treatment of erectile dysfunction is with drugs called PDE-5 inhibitors, including the well-known pill sildenafil (Viagra). ?Mechanical devices are also available to help achieve an erection, and occasional cases that do not respond to medical treatment may be candidates for surgery, to fit a penile implant. 

0 person found this helpful