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Lose -Erection problem
Lose-erection problem is the inability to get or
maintain an erection that is firm enough for a
man to have intercourse. You may be unable to
get an erection at all, or you may lose the
erection during intercourse before you are
ready. If the condition persists, the medical
term is erectile dysfunction.
Alternative Names
Erectile dysfunction; Impotence; Sexual
dysfunction -
Considerations
Erection problems are common in adult men. In
fact, almost all men experience occasional
difficulty getting or maintaining an erection.
In many cases, it is a temporary condition that
will go away with little or no treatment. In
other cases, it can be an ongoing problem that
can damage a man's self esteem and harm his
relationship with his partner, and thus requires
treatment.
If you have difficulty having or keeping an
erection more than 25% of the time, it is
considered a problem.
In the past, erection problems were thought to
be "all in the man's mind." Men often were given
unhelpful advice such as "don't worry" or "just
relax and it will take care of itself." Today,
doctors believe that when the problem is not
temporary or does not go away on its own,
physical factors are often the cause.
One way to know if the cause is physical or
psychologic is to determine if you are having
nighttime erections. Normally, men have 3 to 5
erections per night, each lasting up to 30
minutes. Your doctor can explain a test to find
out if you are having the normal number of
nighttime erections.
In most men, erection difficulties do not affect
their sex drive.
Premature ejaculation (when orgasm comes on too
quickly) is not the same as impotence. Together
with your partner, you should seek counseling
for this problem, which is usually due to
psychological factors.
Male infertility is also quite different from
impotence. A man who is unable to maintain an
erection may be very capable of producing sperm
that could fertilize an egg. An infertile man is
usually able to maintain an erection, but he may
be unable to father a child due to problems with
sperm count or other factors.
Causes
An erection requires the interaction of your
brain, nerves, hormones, and blood vessels.
Anything that interferes with the normal process
can become a problem. Common causes include:
-
Diseases and conditions such as diabetes, high
blood pressure, heart or thyroid conditions,
poor circulation, low testosterone,
depression, spinal cord injury, nerve damage
(for example, from prostate surgery), or
neurologic disorders (like multiple sclerosis
or Parkinson's disease)
-
Certain medications such as blood pressure
medication (especially beta-blockers), heart
medication (such as digoxin), some peptic
ulcer medications, sleeping pills, and
antidepressants
-
Nicotine, alcohol, or cocaine
-
Stress, fear, anxiety, or anger
-
Unrealistic sexual expectations, which make
sex a task rather than a pleasure
-
Poor communication with your partner
A "vicious cycle" of doubt, failure, or negative
communication that reinforces the erection
problems
Erection problems tend to become more common as
you age, but it can affect men at any age and at
any time in their lives. Physical causes are
more common in older men, while psychological
causes are more common in younger men.
Home Care
For many men, lifestyle changes can help:
-
Cut down on smoking, alcohol, and illegal
drugs.
-
Get plenty of rest and take time to relax.
-
Exercise and eat a healthy diet to maintain
good circulation.
-
Use safe sex practices, which reduces fear of
HIV and STDs.
-
Talk openly to your partner about sex and your
relationship. If you are unable to do this,
counseling can help.
Couples who cannot talk to each other are not
likely to be able to make love to each other.
Men who have trouble communicating their
feelings may find it difficult to share with
their partner any anxieties about their sexual
performance. If you keep worries to yourself,
you are more likely to lose erections. Men who
cannot express and resolve feelings of anger or
frustration towards their partner may hold back
their erection as a weapon in the conflict. In
these circumstances, counseling can be very
helpful for both you and your partner.
If erection problems seem to be caused by a
medication you are taking for an unrelated
condition, consult your doctor. You may benefit
from reducing the dose of the drug or changing
to another drug that has the same result but not
the same side effects. DO NOT adjust or
discontinue medications without consulting your
doctor first.
Talk to your health care provider if your
erection problems are related to fear of
recurring heart problems -- sexual intercourse
is usually safe in these circumstances.
When to Contact a Medical Professional
Call your doctor if:
-
Self-care measures do not resolve the problem
and you continue having difficulty with
erections. Effective treatments are available.
-
You suspect that a medication is causing the
problem.
-
The problems begin after an injury or prostate
surgery.
-
You have other symptoms like low back pain,
abdominal pain, or change in urination.
Call your doctor immediately or go to an
emergency room if medication for erection
problems give you an unwanted erection that
lasts more than an hour. Permanent impotence or
other lasting damage to your penis may result
from this condition.
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