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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cannot Get A Full Erection, No Foreplay Or Fellatio Works. Should I Get Medical Help ?

Good Morning. I m having a problem that I m really worried about and I m too nervous to really talk to anyone in person about. I m a 19 year old, male, 5 feet 10 inches, 130 pounds. I live a pretty decent lifestyle in terms of eating and exercise. Recently, I ve noticed I cannot get a full erection or even keep a partial one. Morning wood , as some refer to it, are gone and I do not get somewhat of an erection without really working for it. This started around 2-3 months ago. I was sexual active, but because of this I have stayed away from that. During my last week encounters, fellatio or any other foreplay just was ntt working out, but I was about to get a workable one for intercourse. Sometimes I will masturbate but if I do, it s not more than twice a week. Should I just be patient and see how it goes in the next month or so or should I go to seek profession help? All suggestions are welcome. Thank you and have a good day.
Tue, 5 Feb 2013
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General & Family Physician 's  Response
Hello,
Normally erectile dysfunction in middle age is generally due to causes like  overwork, stress, guilt and bereavement (ED often happens when a widowed man tries to form a new sexual relationship),diabetes,hypertension,obesity,heavy alcoholism,smoking,use of recreational drugs etc.
But a erectile dysfunction at such a young age is most likely the result of anxiety – particularly nervousness about having sex, about causing a pregnancy or about using a condom.
A lot of men in this age group complain that they 'can't get on with a condom' because as soon as they try to put it on, they lose their hardness. This is called as have 'condom collapse syndrome'.

Other common psychological causes of erection difficulties include:
About performance related
guilt – notably if you're trying to have sex with somebody else's wife
relationship problems – especially if you're no longer keen on your partner
latent gayness – for instance, if you’re a basically gay guy, trying to have sex with a woman
depression
exhaustion.
In a lot of cases, ED turns out to be due to a mixture of psychological and physical causes.

My advise to you is simply relax,do regular aerobic exercises,go for mental relaxation techniques like deep breathing exercises,pranayama and yoga,quitting smoking and recreational drugs and reduce alcohol,if taking.
This in itself should make you all right in next couple of months.
However if you don't find improvement,consult a doctor and/or a counsellor.
Thanks
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Cannot Get A Full Erection, No Foreplay Or Fellatio Works. Should I Get Medical Help ?

Hello, Normally erectile dysfunction in middle age is generally due to causes like  overwork, stress, guilt and bereavement (ED often happens when a widowed man tries to form a new sexual relationship),diabetes,hypertension,obesity,heavy alcoholism,smoking,use of recreational drugs etc. But a erectile dysfunction at such a young age is most likely the result of anxiety – particularly nervousness about having sex, about causing a pregnancy or about using a condom. A lot of men in this age group complain that they can t get on with a condom because as soon as they try to put it on, they lose their hardness. This is called as have condom collapse syndrome . Other common psychological causes of erection difficulties include: About performance related guilt – notably if you re trying to have sex with somebody else s wife relationship problems – especially if you re no longer keen on your partner latent gayness – for instance, if you’re a basically gay guy, trying to have sex with a woman depression exhaustion. In a lot of cases, ED turns out to be due to a mixture of psychological and physical causes. My advise to you is simply relax,do regular aerobic exercises,go for mental relaxation techniques like deep breathing exercises,pranayama and yoga,quitting smoking and recreational drugs and reduce alcohol,if taking. This in itself should make you all right in next couple of months. However if you don t find improvement,consult a doctor and/or a counsellor. Thanks