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Dr. Steve
Dr. Steve, Doctor (MD)
Category: Health
Satisfied Customers: 1663
Experience:  Medical Doctor (MD): Board-Certified Family Doctor
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Why wont my erection stay up?

Resolved Question:

I am 18, and have been having sex with my girlfriend regularly for about a year and a half. Over the last few months though, I've found it increasingly hard to keep an erection once I'm 'inside' my girlfriend. I seriously can't think of any reasons why this could be happening, but it's ruining me and my girlfriend's sex life, and our relationship is suffering too, because she thinks it's because I'm no longer interested in her. Though when my erection does drop, I'm still really in the mood and really horny and want to carry on, I just can't!

Any common problems that cause this among people, especially people my age? Thanks for any help you can give me.
Submitted: 7 years ago.
Category: Health
Expert:  Dr. Steve replied 7 years ago.

Hi Luke--there are basically 4 plausible explanations for this Erectile Dysfunction [ED]:

  • A micro-vascular disease process [something is causing blockage to blood vessels that supply your penile tissues]
  • Testosterone deficiency. see link: http://www.urologychannel.com/testosteronedeficiency/ make sure to click thru all the sublinks. There ARE certain metabolic diseases where testost levels can suddenly decrease, even in an 18 yr old.
  • Diabetes [Yes--this CAN occur in teenagers]
  • Stress/Anxiety/Depression [or other psychological factors]

My personal guess would be: Testosterone deficiency. However, the ONLY way to pinpoint the accurate Diagnosis is to see a Urologist: for exam + lab testing [including Testost. & thyroid hormone levels]. Please make arrangements to see a urologist soon. The GOOD news: all the above conditions are treatable.

Good luck!

Best Wishes for Your Health. "CHAT" is available too.

--Dr. Steve, M.D./FABFP (Your Online Family Doctor)

 

Customer: replied 7 years ago.
Reply toCustomers Post: Thanks for the help :D

Can I just quickly ask before I accept, what sort of things cause this testosterone deficiency? Anything in particular, or just occurs naturally without any real cause?

Thanks!
Expert:  Dr. Steve replied 7 years ago.

Here are the possible causes:

  • Chemotherapy
  • Damage occurring during surgery involving the pituitary gland, hypothalamus, or testes
  • Glandular malformation
  • Head injury that affects the hypothalamus
  • Infection (e.g., meningitis, syphilis, mumps); or post-infection complication
  • Isolated LH deficiency (e.g., fertile eunuch syndrome)
  • Radiation
  • Testicular trauma
  • Tumors of the pituitary gland, hypothalamus, or testicles

Again--it will take a Urologist's eval & workup to isolate the SPECIFIC cause in your case [IF this is what it turns out to be].

I hope everything turns out well!

Best Wishes for Your Health. "CHAT" is available too.

--Dr. Steve, M.D./FABFP (Your Online Family Doctor)

 

Customer: replied 7 years ago.
Reply toCustomers Post: Thanks again :D

In the mean time, is there anything I can do to help the problem? Anything simple like eating healthy food, exercise, less stress etc.

Will accept after this reply. Thanks for all your help.
Expert:  Dr. Steve replied 7 years ago.

Answer:

No--unfortunately none of those 'lifestyle' adjustments will help: they're still GOOD for you though.

Best Wishes for Your Health. "CHAT" is available too.

--Dr. Steve, M.D./FABFP (Your Online Family Doctor)

Dr. Steve, Doctor (MD)
Category: Health
Satisfied Customers: 1663
Experience: Medical Doctor (MD): Board-Certified Family Doctor
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