Why am I having erectile difficulties at 31?

Question

Hello doctor,

I have had an erection problem for the past few months, not able to have a good sexual life with my partner.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Erectile difficulties at 31 years of age can be related to stress, anxiety, poor sleep, relationship issues, weight gain, reduced physical activity, diabetes, blood pressure problems, or hormonal factors.

Considering your weight, it’s possible that excess weight can also play a role as it impacts circulation, testosterone production, and sexual performance in general. It is necessary to determine the cause of erectile dysfunction first; that is, whether you have problems with erection itself, sustaining erection, or both.

Many men regain good sexual performance after addressing the causes behind the issue. Physical activity, losing weight, having enough sleep, avoiding alcohol and cigarettes (if any), and reducing stress are very helpful in this situation.

If the problem persists, evaluation with tests such as fasting blood sugar, hemoglobin A1c (HbA1c), lipid profile, and testosterone may be helpful.

Tablet Sildenafil 5 milligrams once at night can help you.

Do you still get morning erections?
Are your erections also weak during masturbation, or is the problem mainly during intercourse with your partner?

Revert with answers to the above.

I hope it helps.

Thank you.