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What Causes Erectile Dysfunction?
Question: Hi,
I have been experiencing erectile dysfunction for the past 45 days. I can get an erection but cannot maintain it for more than 30 seconds. Sometimes have not been able to get an erection also.
What is the reason for this? I used to smoke weed regularly and stopped about 2 months ago cause my wife and I are trying to have a baby. Also used cocaine 3 to 4 times a week about 6 years ago for a period of 6 months. Stopped that but have used it recreationally after about 3 times a year, but have not used in last 4 months.
Brief Answer:
smoking. Check for testosterone level and USG
Detailed Answer:
Hi, Thanks for using HCM.
I went through the query and understood your concern.
Penile erection is due to blood entering and retaining in sponge like bodies within the penis till there is sexual arousal.
Erection is not a wish and will phenomena it remains hard till you remain excited if excitement vanishes by any cause including ejaculation you are having early ejaculation if before ejaculation then you r getting distracted from sex. A little distraction may diminish erection , concentrate more on pleasure able things and don't judge your penis during having fun may solve your problem if early ejaculator
Erectile dysfunction is regular or repeated inability to obtain or maintain an erection.
There are many factors for erectile dysfunction. Smoking is an important cause of erectile dysfunction.
Smoking causes arterial narrowing, resulting in erectile dysfunction.
Other causes of erectile dysfunction are:-
1. Diabetes
2. Obesity / Increased cholesterol
3. Some medicines like anti depressants
4. Performance anxiety
It will be helpful if you quit smoking completely.
There are medicines which can cure erectile dysfunction, but they should be taken only under medical supervision as they can be harmful if taken in extra dose than needed.
Get checked for vascular supply to penis using ultrasonography and also your testosterone level once to know if any problem. Eat healthy food with plenty of fluids. Regular exercises and good sleep will also help you.
I hope this information helps you. Feel free to ask if any further queries and I will be glad to answer them.
Wish you and your family a very happy life and good health.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your answer...what about my past drug usage? Could that be having an impact...I spoke with my physician and he said that even if there is a low testosterone issue he would not prescribe testosterone replacement as it would be counterproductive to getting my wife pregnant as this reduces fertility...is this correct?
Brief Answer:
Drugs may have an impact. monitor testosterone
Detailed Answer:
Hi, Thanks for the followup.
Yes the past drug usage may have an impact especially in maintaining the erection. Since as explained before maintaining erection mainly depends on your pleasure and excitement during sex. Usually drug addiction this will be affected.
Smoking can affect blood vessels so I advised to get investigated using ultrasonography if there any problem in vascular supply.
Testosterone is low needs to be addressed by giving replacement therapy. If the correct dosage is given then there won't be any problem but will be helpful in increasing fertility.
Hope this helps you
Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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