Half of the teens reported having a decreased or absent sex drive, 30 had difficulty achieving spontaneous erection during sexual encounters, and 35 had trouble maintaining erections. Twenty-five had ultrasound to check penile blood flow, which identified blood vessel problems in The remaining 13 were considered to have psychological causes of erectile dysfunction.
When a physical cause of ED is diagnosed, Mulhall said, treatment is often possible, with hormone therapy, for example, if endocrine problems are identified, or vascular surgery for the few with blood vessel problems.
Research also indicates that erectile dysfunction is a growing problem. A study published in BJU International concluded that ED would likely affect million men worldwide by — an increase of about million compared to the mids.
Instead, erection issues can be caused by a range of different factors, from physical ones like cardiovascular health issues, to psychological ones like performance anxiety, depression or potentially even overuse of pornography. If you have erectile dysfunction in your 20s, working out the cause can help you more effectively treat your ED and improve your sexual performance.
Erections are all about healthy blood flow. If you have high blood pressure hypertension , you may have an elevated risk of developing erectile dysfunction due to the damage that long-term high blood pressure can have on your blood vessels. Testosterone plays a major role in regulating your sex drive. Studies have found that high levels of total and bioavailable testosterone may be associated with a stronger sex drive and better erectile function.
For example, ED is more common in people cardiovascular disease — a class of disease that is significantly more common in people who are overweight or obese. In an Italian study , overweight and obese men who lost an average of 33 lbs over the course of two years reported improved erectile function. Like high blood pressure, obesity is also associated with a lower level of testosterone — a key hormone for healthy erections and sexual performance. Diabetes can damage blood vessels and affect your blood flow, making it more difficult for your body to supply blood to the soft tissue of your penis.
It can also affect the nerves in and around your penis, potentially affecting sexual stimulation. While a drink or two is unlikely to damage your sexual performance, drinking alcohol excessively can affect your erections in both the short term and the long term.
In a study , researchers found that men with alcohol dependence syndrome had a high rate of sexual dysfunction. Of the men that participated in the study, 72 percent had either one or several forms of sexual dysfunction, with erectile dysfunction one of the most common.
Likewise, using illicit drugs could increase your risk of developing erectile dysfunction and other sexual issues. Although in-depth research in this area is limited, there are clinical reports of erectile dysfunction in people who abuse drugs such as cocaine.
Even recently legal drugs, such as cannabis, are closely linked to erectile dysfunction and other sexual dysfunctions in some research. Cigarettes and other tobacco products can harm your erectile health and sexual performance in several different ways.
First, smoking can damage your cardiovascular system. The chemicals in cigarettes and other tobacco products can damage your heart and blood vessels, increasing your risk of developing high blood pressure and other cardiovascular conditions that are often linked to ED.
Second, the nicotine in cigarettes can cause your arteries to narrow, affecting the flow of blood throughout your body. Our full guide to smoking and ED goes into more detail on the effects of cigarettes on erections and sexual health. Sexual performance anxiety is a common problem in which you might feel nervous or anxious about your appearance or sexual performance before and during sex.
Performance anxiety can affect men and women of all ages. This is known as a condom-associated erection problem CAEP. Erectile dysfunction caused by condom issues is more common than you may think, especially for men in their 20s. In a study involving men aged 18 to 24, Another Although studies are limited, some research has found that watching porn can change the way your brain responds to sexual stimulation.
In actuality, ED is relatively common in younger males. The best approach varies from person to person — some find that changing lifestyle factors is enough to resolve their ED, while others require professional treatment, such as medication.
If a person feels that anxiety, stress, depression, or relationship problems are interfering with daily life — including sex — talking to a mental health professional can help. A doctor may prescribe medication that stimulates blood flow to the penis, helping to achieve an erection. There are many ED drugs available, and each can cause side effects. Common options include:. Read more about treatments for ED here. If a doctor determines that ED is a side effect of an ongoing medication, they may recommend switching medications or changing the dosage.
Do not make any changes, however, without talking to a doctor first. Vacuum devices are mechanical pumps that create an erection by drawing blood into the penis. ED rings are bands that go around the base of the penis to keep blood in it, helping maintain an erection. Natural remedies for ED are increasingly available over the counter. But little, if any, scientific evidence suggests that they work. Also, some remedies can produce side effects or react negatively with medications. Before trying any over-the-counter treatment, it is important to consult a doctor.
In addition, these natural remedies and supplements may actually worsen erectile function in the long term, even if help in the short term. It is also worth noting that they work differently from ED medications such as Viagra and Cialis, which do not affect function beyond the time that the medication is in effect.
Read more about natural treatments for ED here. ED becomes more of a risk with age, but it is relatively common in younger males. Stress, anxiety, and factors such as stress and smoking can contribute to ED at any age, while physical factors, such as high blood pressure, are more likely to contribute to ED in older adults. As a result, ED may be more straightforward to treat in younger adults, though treatments can be effective at any age. Viagra is a medication that can help with erectile dysfunction.
It is available for purchase online.
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