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Erectile dysfunction, also known as ED or impotence, is the inability to attain or maintain an erection of the penis adequate for the sexual satisfaction of both partners. It can be devastating to the self-esteem of a man and of his partner. As many as 30 million American men are afflicted on a continuing basis, and transient episodes affect nearly all adult males. But nearly all men who seek treatment find some measure of relief.
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"If any of these physiological factors don't work properly, a man can experience weak erections," says Axe. "Problems maintaining an erection can be due to a number of issues, from hormone imbalances, to neurological issues, cardiovascular conditions, stress and issues with your mental health. There is not one clear way to explain erectile dysfunction — it depends on the man and his specific health condition."
In an article on Men’s Health about things that wreck your erection, some examples of threats to an erection are sugar, lack of sleep, sleeping near a newborn baby, and lack of vitamin D. The common theme in the article is that reduced testosterone impacts your erection. Not all scientists agree with that. But there are definitely links between testosterone and erectile problems.
If the problem is physiological, that is, if a man cannot maintain an erection due to illness, it is best to go to the doctor or specialist and treat the problem accordingly. Sometimes treating this problem with medication is enough to solve the problem; other times, however, a doctor might recommend the use of Viagra in order to achieve full erection.
The first tip for how to keep an erection longer is a simple one. Exercise the penis with kegels. According to sex and relationships expert, Jordan Gray, kegel exercises strengthen your genitals and improve your sex life. Kegel exercise involves “flexing and holding the muscles that stop the flow of urine.” The penis is made up of a ton of muscle. It’s important to keep that muscle tissue strong, healthy, and reactive. Kegels are popular with men and women. If you’re struggling with keeping an erection for a length of time, the reason could be weak muscle tissue.
Erectile dysfunction is the inability to attain or maintain an erection adequate for the sexual satisfaction of both partners. At one time, doctors tended to blame ED on psychological problems or, with older men, on the normal aging process. Today, urologists say physical factors underlie perhaps 90% of cases of persistent erectile dysfunction in men older than 50.
Then, to rewind and reset the mood once you’re between the sheets, Goldberg suggests setting aside time for strictly fooling around. Try “sensate focus,” a sex-therapist favorite in which you and your partner majorly slow down your foreplay, focusing heavily on the sensations that feel best to both of you. “This helps make being physically intimate more of a relaxing, sensual, and erotic experience,” Goldberg says. And it helps his body disassociate sex from the stressful experience of losing his hard-on, which can help put a stop to his erection fixation and prime him for full-on intercourse again.
Did you know that a cock ring can help you maintain an erection? This O-shaped toy fits around your penis and helps keep blood in the shaft, where you want it. A cock ring also helps prevent venous leakage, a form of erectile dysfunction where blood flows to your penis, but has trouble staying there. (Giddy, a new cock-ring-like gadget designed to treat ED, may also help guys with venous leakage maintain stronger erections.)
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Occasional ED is common in all men, including young and healthy men. But if you have a persistent or recurrent problem with initiating or maintaining an erection and it's causing you or your partner distress, talk to your doctor. “Lack of nighttime erections is another cause for concern, said Wang. These occurrences serve to nourish the penis with oxygen and keeping the blood supply healthy, he explained. "Young men should get four or five of these a night. If you are not getting these and you are having frequent problems with ED, you need to check in with your doctor,” he recommended.
Relationship problems often complicate erectile dysfunction. Improving your relationship may be part of the solution. It may be a good idea to get counseling together from a sex therapist, marriage counselor, or a medical specialist. "I almost always see couples together to discuss erectile dysfunction. It often turns out that both partners have issues regarding the sexual relationship and once they are out in the open, couples can work together on a more satisfying sexual experience," says Feloney.
You should speak with a doctor before trying any medication that's meant to help with stronger erections. If you're looking to go that route, there are plenty of prescription drug options that have been engineered to help with this issue. "In terms of conventional treatment for erectile dysfunction, medications called PDE5-inhibitors are commonly prescribed," says Dr Axe. "Four PDE5-inhibitors that have been approved for use in the United States include sildenafil, tadalafil, vardenafil and avanafil."
If you’re a guy over 40, there’s a fifty-fifty chance that you have a problem getting or keeping an erection. Now, I don’t mean the sort of erection you saw in American Pie! I mean an erection that’s firm enough and long-lasting enough for sexual satisfaction. Every guy has times when he just can’t manage an erection. Still, if you’re having trouble achieving a satisfying erection more than 50% of the time, you’ve got erectile dysfunction (ED).
As the nervous system of autonomic response, the erection can result in different stimuli that include the sexual arousal and stimulation which is not even under the control of the conscious mind. The absence of the nocturnal erection is also used commonly for distinguishing between the psychological and physical cause of impotence and erectile dysfunction.
“Studies looking at men under 40 with ED have found certain psychiatric conditions, like depression and anxiety, at a higher rate than other groups,” Trost says. And as he explains it, anxiety and depression—two things millennials experience at uniquely high rates—can make it more difficult for a man’s brain to respond to arousing stimuli, which can cause a low sex drive or issues getting an erection.
When these mental hang-ups happen in the moment (aka in bed), they can trigger his brain’s fight-or-flight response, which sends a message to his penis to shut things down. In this way, performance anxiety–induced ED is actually pretty similar to what women experience when our thoughts during sex make it hard to stay turned on and/or orgasm—we just don’t have an appendage that shows the evidence.
And be aware that the vast majority of physical or psychological causes of erectile dysfunction are temporary. They may go away as quickly as they occurred. But if anything is bothering you or your partner, you should seek out confidential, professional advice. There is no point in worrying and not doing anything about it. It may just make the situation worse.
Some of the most reliable ED stats have emerged from a large data collection effort called the Massachusetts Male Aging Study. According to that data, rates of ED among men tend to correlate with their age bracket, says Tobias Köhler, M.D., chief of the Division of Male Infertility at Southern Illinois University. “Roughly 40 percent of men in their 40s suffer from ED, 50 percent in their 50s, etc.,” he says.
So not only are erectile problems common, they're nothing for you or your special friend to be freaked out about. Check out the nine most common reasons that dudes sometimes can't get it up, and get ready to become the soothing voice of reason the next time the guy you're with has a hard time pitching his tent in your happy valley. Everything (and every penis) is gonna be fine!