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What Causes Erectile Dysfunction In A 24 Year Old Man?
Question: I am a 24 year old male. 6'2' 200lbs. Active.
Over the last 6 months there have been 2 or 3 times when I could not get an erection.
The problem seems to go away after a day or two but is still concerning given age and
the fact that I do not seem to be having any other "symptoms".
In the most recent incident I was with my girlfriend and while we were starting to "play"
and I realized that my penis was not getting erect..being that this had happened before I
began to assess to see if there was anything that I could figure to find out why this was happening.
I did notice that it still felt like blood was rushing to the area but with no results.. and while she was trying to get it to "work" if I closed my eyes it felt like I was getting erect but in reality..still flaccid..
I was definitely in the mood mentally but physically I could not perform.
As you can imagine she was not pleased and thinks it has something to do with her.. Which is not the case!
I decided to try to get erect on my own when I got home, my penis still never reached 100% and as soon I stopped or wasn't completely focused on what I was doing it began to get flaccid rapidly.
I was able to ejaculate but like I said not fully erect.
I did think maybe dehydration could have played a part..I was tired and had eaten much that day but I did have plenty of water.
I have also noticed that I have shooting pains in my lower back/hip area when I put weight on my left leg that come and go..Im not sure if that applies or not
Thanks
For further evaluation I need some information.
- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.- NO
- Is there any history of history of smoking or alcohol?- Smoke marijuana daily/drink 2 times weekly
- When did you do your last successful sex?- Night before last. 100% erect. Lasted for duration..around 2hours
- Is there any difficulty in urinating?- NO
- How is relationship with your partner? Any emotional or social problem is there?- Not that I know of. Things are great..besides erection issue
- Is there morning erection present?- NO..but never had regular morning erection
- Are you able to masturbate regularly without any problem?- Yes..Until now
Over the last 6 months there have been 2 or 3 times when I could not get an erection.
The problem seems to go away after a day or two but is still concerning given age and
the fact that I do not seem to be having any other "symptoms".
In the most recent incident I was with my girlfriend and while we were starting to "play"
and I realized that my penis was not getting erect..being that this had happened before I
began to assess to see if there was anything that I could figure to find out why this was happening.
I did notice that it still felt like blood was rushing to the area but with no results.. and while she was trying to get it to "work" if I closed my eyes it felt like I was getting erect but in reality..still flaccid..
I was definitely in the mood mentally but physically I could not perform.
As you can imagine she was not pleased and thinks it has something to do with her.. Which is not the case!
I decided to try to get erect on my own when I got home, my penis still never reached 100% and as soon I stopped or wasn't completely focused on what I was doing it began to get flaccid rapidly.
I was able to ejaculate but like I said not fully erect.
I did think maybe dehydration could have played a part..I was tired and had eaten much that day but I did have plenty of water.
I have also noticed that I have shooting pains in my lower back/hip area when I put weight on my left leg that come and go..Im not sure if that applies or not
Thanks
For further evaluation I need some information.
- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.- NO
- Is there any history of history of smoking or alcohol?- Smoke marijuana daily/drink 2 times weekly
- When did you do your last successful sex?- Night before last. 100% erect. Lasted for duration..around 2hours
- Is there any difficulty in urinating?- NO
- How is relationship with your partner? Any emotional or social problem is there?- Not that I know of. Things are great..besides erection issue
- Is there morning erection present?- NO..but never had regular morning erection
- Are you able to masturbate regularly without any problem?- Yes..Until now
Brief Answer:
it is likely performance anxiety
Detailed Answer:
Hello Young man,
Thanks for writing to us. I can understand your concern.
Your problem is likely due to performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
While doing sex keep yourself relax.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 2 hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.
For further evaluation I need some information.
- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.
- Is there any history of history of smoking or alcohol?
- When did you do your last successful sex?
- Is there any difficulty in urinating?
- How is relationship with your partner? Any emotional or social problem is there?
- Is there morning erection present?
- Are you able to masturbate regularly without any problem?
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
it is likely performance anxiety
Detailed Answer:
Hello Young man,
Thanks for writing to us. I can understand your concern.
Your problem is likely due to performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
While doing sex keep yourself relax.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 2 hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.
For further evaluation I need some information.
- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.
- Is there any history of history of smoking or alcohol?
- When did you do your last successful sex?
- Is there any difficulty in urinating?
- How is relationship with your partner? Any emotional or social problem is there?
- Is there morning erection present?
- Are you able to masturbate regularly without any problem?
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Nothing to worry
Detailed Answer:
Hi,
Thanks for information.
It is almost clear that you don't have any physical problem. Your sex life is fine. Occasional difficulty is normal. Regular morning election is not necessary.
I recommend stopping marijuana smoking as in long run it can affect your erection. Current occasional problem can be due to smoking. Restrict amount of alcohol to 2 pag per occasion and not more than 3 days a week.
Take care dear.
Nothing to worry
Detailed Answer:
Hi,
Thanks for information.
It is almost clear that you don't have any physical problem. Your sex life is fine. Occasional difficulty is normal. Regular morning election is not necessary.
I recommend stopping marijuana smoking as in long run it can affect your erection. Current occasional problem can be due to smoking. Restrict amount of alcohol to 2 pag per occasion and not more than 3 days a week.
Take care dear.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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