What is causing my erectile dysfunction?

Question

Hello doctor,

I am a 35-year-old female with HAE and am still trying to figure out my triggers. I have seen swelling attacks occur at times of emotional stress, but I do not know if that is a coincidence or a real pattern. Honestly, one of the hardest parts is the unpredictability.

I am always wondering when the next episode might happen. For people with hereditary angioedema, does stress actually trigger swelling attacks, or is that more individual? I would love to know if stress management has made any noticeable difference for others.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Trouble getting fully hard at your age is often temporary and usually due to stress, anxiety, too much pornography use, overthinking, performance pressure, poor sleep, fatigue, depression, or frequent masturbation patterns, not permanent damage.

It's somewhat reassuring that you still get partial erections at about 70 to 80 percent. It suggests that the erection mechanism is still working. Sometimes things like erectile dysfunction can start off slow, especially if the brain is overstimulated by porn or the anxiety about erections builds.

Try not to constantly test erections by repeatedly watching porn or checking whether you can get hard, because that itself can worsen anxiety and reduce arousal.

Reducing pornography and excessive masturbation for some time, improving sleep, exercising regularly, eating properly, reducing stress, and staying socially active often help significantly in young men.If morning erections are also reduced for a long time, then you can go for the following tests.

Testosterone evaluation.
Thyroid profile.
HbA1c or blood sugar.
Vitamin D.

I hope this information helps you.

Feel free to ask further questions.

Thank you.