I get erectile dysfunction once in a while. Is it due to physical or emotional cause?

Question

Hello doctor,

I am 30 years old. I have erectile dysfunction. I do not know whether it is due to physical or mental cause. I eat very healthily. I do not smoke or drink and exercise around five times a week. I quit porn about six months ago. I have morning wood, maybe only once a month, and it does not stay long. I broke up with my ex-partner a year ago. I had no problems getting a bond with her. Only like 1 out of 20 times I had a harder time maintaining an erection. Only my libido was going down after we have been together for about two years. But with my new partner, I always take some viagra to be sure not to have any problem maintaining an erection. Even if I take 1/5th of a tablet, it is enough to have nil problems and having sex two times in the night. But when I try it without it, out of six times, three times we had successful sex, and the other three times it went soft.

I am now out of the country for several weeks, and I am starting to think this is a physical issue and believe I cannot maintain an erection. Even if I masturbate without porn, I have a hard time maintaining an erection. But on the otherhand, once in the week I think about sex and get an erection that stays without a problem for 15 minutes. I am very confused, and the reason why I believe this is a physical problem because I barely get morning woods and my libido is very low. I want to have that feeling from 10 years ago where I could have sex easy every day without a small amount of Viagra. Also, I have a numb feeling in my penis for the last few days. Please help.

Answer 1

Hi,

Welcome to icliniq.com.

Loss of erection or reduced erection has many causes like chronic disease, diabetes, antidepressants, and anti-hypertension medications, in addition to alcohol and smoking and psychological reasons. For a fit man like you, it seems to be psychological as there might be stress or sort of depressed mood. But the extra thing I am addressing is the loss of libido, which is linked to hormonal causes. The investigation required is a serum testosterone level to see whether you have hormonal abnormalities. Keep on the physical activities.

Please follow up with testosterone level for further advice.

Answer 2

Hi,

Welcome back to icliniq.com.

Nerves and blood vessels are affected in chronic conditions and not in healthy people like you. Loss of libido issue supports the hormonal cause.

Please follow up with hormone level.