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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43432
Experience:  Board Certified Physician
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I'm a 25 year old male, in good health and keep fit, but I've

Customer Question

I'm a 25 year old male, in good health and keep fit, but I've had erection problems for about 4 years now. I thought this sort of thing only happened as you got older? I don't want to rely on medication for the rest of my life, is there anything else I can do?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

what sort of erection problem are you having?

Dr. David :

do you have performance anxiety?

Dr. David :

do you have excessive anxiety symptoms?

JACUSTOMER-f3bian31- :

erections have become non existent when with a partner

JACUSTOMER-f3bian31- :

on my own they are more effective but not 'hard'

JACUSTOMER-f3bian31- :

this leads to serious anxiety

Dr. David :

this sounds like performance anxiety.

Dr. David :

with bad anxiety, it can ruin an erection.

Dr. David :

the more you stress about having an erection, the less of an erection you will have.

Dr. David :

this is not a biological problem.

JACUSTOMER-f3bian31- :

but surely i shouldn't have anxiety when im on my own?

Dr. David :

this is a psychological problem.

Dr. David :

right, and that is why your erections are better on your own.

Dr. David :

make sure you drink enough fluids and get enough sleep as well.

Dr. David :

these can help your erections

JACUSTOMER-f3bian31- :

i drink lots of water

Dr. David :

and if you take a break from masturbation for a few days, your erections can be better.

Dr. David :

avoiding caffeine and alcohol before sex can help as well.

JACUSTOMER-f3bian31- :

i dont masturbate often because of the poor performance

Dr. David :

you can see your doctor and get blood testosterone testing

Dr. David :

and see if your testosterone levels are low.

Dr. David :

this can also affect your erections.

JACUSTOMER-f3bian31- :

i get plenty of sleep, do drink a fair amount of caffeine hough

Dr. David :

I would cut down on the caffeine.

JACUSTOMER-f3bian31- :

blood testosterone, can this be treated?

Dr. David :

increased exercise can help boost testosterone levels and help improve circulation

Dr. David :

which can help improve erections.

Dr. David :

do you exercise regularly?

JACUSTOMER-f3bian31- :

im in good physical shape

JACUSTOMER-f3bian31- :

run/play football/gym at least 2/3 times a week

Dr. David :

that is good.

Dr. David :

talk to your doctor about getting your blood testosterone levels checked.

Dr. David :

they could be low.

JACUSTOMER-f3bian31- :

believe me I've read all the information on erection problems, not come across much on blood testosterone thoguh

JACUSTOMER-f3bian31- :

can that be treated?

Dr. David :

yes, it can be treated.

Dr. David :

there are treatments to help bring up testosterone levels.

Dr. David :

do you have other questions?

JACUSTOMER-f3bian31- :

what sort of treatments are available?

Dr. David :

there are testosterone injections or testosterone gels which can help bring up your testosterone levels.

JACUSTOMER-f3bian31- :

is this the kind of thing that can be 'cured' or would it require repeated treatment?

Dr. David :

it depends on your testosterone levels

JACUSTOMER-f3bian31- :

excuse the pun but sounds like i need to 'man up' and go and see my gp, this may seem a silly question but what would you recommend i say to them? its obviously quite a sensitive subject and im quite nervous about approaching it

Dr. David :

you need to tell your GP what you are having

Dr. David :

not hard erections.

Dr. David :

performance anxiety

Dr. David :

bad erections with a partner.

Dr. David :

ask for testosterone testing.

Dr. David :

you might need to see a sex therapist as well to help you with performance during sex.

JACUSTOMER-f3bian31- :

will my gp be able to help with all of this? its not the kind of thing I've ever wanted to ask but its really starting to drag me down

Dr. David :

yes, your GP can help.

Dr. David :

and can refer you to see a therapist or a sex therapist if you need to talk to a sex therapist

Dr. David :

let me know if you have other questions

Dr. David :

if done, please leave positive feedback below

Dr. David :

we only get credit for helping clients after positive feedback.

Dr. David :

thanks for using JustAnswer.com

JACUSTOMER-f3bian31- :

thank you for your help.

Dr. David :

you might have to scroll down to see the ratings area below.

JACUSTOMER-f3bian31- :

does this conversation save somewhere so i can refer back to it?

Dr. David :

yes, you have a link to this conversation in your email box.

JACUSTOMER-f3bian31- :

great. thanks again.

Dr. David :

thanks


Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43432
Experience: Board Certified Physician
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