
Hi Doctor, I Have Been Having Really Weird Erection Problems

I have been having really weird erection problems for 4 months now. It started back in March of this year when I realized I had phimosis my entire life. Up until this point, I thought that an uncut penis looked like mine and wasn't supposed to retract. When I found out about this I felt really conscious about my penis and has very sad that I never new about retracting my foreskin for 26 years. I went to the doctor and he prescribed me triamcinolone cream which I applied to my penis for about 5 days while doing streching excersizes. my foreskin was able to retract over the glans on the first day that I applied the cream. About a few days later I noticed that I woke up and didn't have a morning erection which was odd since I always have a morning erection for as long as I could remember. Then a few days after that I noticed that my penis felt "dead" and "numb" while I was driving to work. This instantely made me panic and I was stressed out and anxious all day at work. When I came back home I instantly tried to masturbate to see if I was still able to get an erection and I wasn't able to. On top of that, I ejaculated in literally 10 seconds (with a flaccid penis). I slept it off. I went to urologist the next day and he dismissed it as being due to anxiety. He didn't take any tests, he just did a physical examination on my penis and said that it is not possible to be impotent at 26 years old. He prescribed viagra and I did 1 pill that day and went off to have sex with a friend. I was able to get an erection but I felt like the viagra did not help and that I would have gotten the erection regardless. I ejaculated prematurely during this instance as well. Mind you, up until this point in my life I never had ejaculation or erection issues. Ever since then, I have went and seen other doctors and requested blood tests and ultrasounds but all they did was take a blood test. Everything came back normal (normal testosterone, blood sugar levels, etc.). They saw that I don't have diabetes, peyronies disease, or any other history of serious medical conditions, or the fact that I am not on any medication and he dismissed my issues being due to anxiety as well. I did bring up my morning erections to him and told him that some days I wake up with one and other days I don't and that i am concerned that this may be a physical erectile problem rather then a pyshcoloigcal one and he told me that it is nothing to worry about and that I should just meditate and try to get rid of my anxiety. I've had sex multiple times after this situation and each time I was able to get an erection naturally although I do not think my erections are as "hard" or rigid now. Also, sometimes when I masturbate to pronography now I am not able to get an erection and I sometimes still do ejaculate prematurely even during masturbation. Is this all due to anxiety? This has been on my mind literally every second of every day for the past 4 months and I am really feeling hopeless that all of doctors are not willing to do an ultrasound to see if maybe one of my penile nerves or muscles are broken. What if I have a vein in my penis that is leaking? Sometimes when I masturbate I lose my erection quickly now (it never happened before). Also, when I do get monring wood I lose it within seconds of waking up whereas before I would have the erection until I got up and went to the bathroom to urinate. If my erection issues were really due to anxiety wouldn't it only be related to performance anxiety? Is the fact that I am thinking about my erections so much causing my brain to not give me regular erections as before? I've had anxiety before with work, school, family ,etc. but never had any erection problems because of it. Do you think this started because of my realization of my phimosis and is no getting worse because I (wrongfully?) disganosed myself with some type of erectile issue? If this really were a psychological issue wouldn't I only have erection issues when I had sex and not during masturbation, morning erections and premature ejaculation? What are the chances of a 26 year old having physical issues with erections vs psychological? I know that the older I get the more my erections will decline but this seems like a HUGE and sudden decline whereas everybody else would go through this process gradually and not noticeably. The only thing I was able to find on the internet that may be effecting my erections would be constant pornagrphy viewing. Is this proven? I do watch pron often and I read online that watching too much pron will cause ED in young men. I am just so sad right now and I can't consentrate at work, I am very easily irritable now and just very annoyed that I can't get erections like I used to. Can you please advise?

I have been having really weird erection problems for 4 months now. It started back in March of this year when I realized I had phimosis my entire life. Up until this point, I thought that an uncut penis looked like mine and wasn't supposed to retract. When I found out about this I felt really conscious about my penis and has very sad that I never new about retracting my foreskin for 26 years. I went to the doctor and he prescribed me triamcinolone cream which I applied to my penis for about 5 days while doing streching excersizes. my foreskin was able to retract over the glans on the first day that I applied the cream. About a few days later I noticed that I woke up and didn't have a morning erection which was odd since I always have a morning erection for as long as I could remember. Then a few days after that I noticed that my penis felt "dead" and "numb" while I was driving to work. This instantely made me panic and I was stressed out and anxious all day at work. When I came back home I instantly tried to masturbate to see if I was still able to get an erection and I wasn't able to. On top of that, I ejaculated in literally 10 seconds (with a flaccid penis). I slept it off. I went to urologist the next day and he dismissed it as being due to anxiety. He didn't take any tests, he just did a physical examination on my penis and said that it is not possible to be impotent at 26 years old. He prescribed viagra and I did 1 pill that day and went off to have sex with a friend. I was able to get an erection but I felt like the viagra did not help and that I would have gotten the erection regardless. I ejaculated prematurely during this instance as well. Mind you, up until this point in my life I never had ejaculation or erection issues. Ever since then, I have went and seen other doctors and requested blood tests and ultrasounds but all they did was take a blood test. Everything came back normal (normal testosterone, blood sugar levels, etc.). They saw that I don't have diabetes, peyronies disease, or any other history of serious medical conditions, or the fact that I am not on any medication and he dismissed my issues being due to anxiety as well. I did bring up my morning erections to him and told him that some days I wake up with one and other days I don't and that i am concerned that this may be a physical erectile problem rather then a pyshcoloigcal one and he told me that it is nothing to worry about and that I should just meditate and try to get rid of my anxiety. I've had sex multiple times after this situation and each time I was able to get an erection naturally although I do not think my erections are as "hard" or rigid now. Also, sometimes when I masturbate to pronography now I am not able to get an erection and I sometimes still do ejaculate prematurely even during masturbation. Is this all due to anxiety? This has been on my mind literally every second of every day for the past 4 months and I am really feeling hopeless that all of doctors are not willing to do an ultrasound to see if maybe one of my penile nerves or muscles are broken. What if I have a vein in my penis that is leaking? Sometimes when I masturbate I lose my erection quickly now (it never happened before). Also, when I do get monring wood I lose it within seconds of waking up whereas before I would have the erection until I got up and went to the bathroom to urinate. If my erection issues were really due to anxiety wouldn't it only be related to performance anxiety? Is the fact that I am thinking about my erections so much causing my brain to not give me regular erections as before? I've had anxiety before with work, school, family ,etc. but never had any erection problems because of it. Do you think this started because of my realization of my phimosis and is no getting worse because I (wrongfully?) disganosed myself with some type of erectile issue? If this really were a psychological issue wouldn't I only have erection issues when I had sex and not during masturbation, morning erections and premature ejaculation? What are the chances of a 26 year old having physical issues with erections vs psychological? I know that the older I get the more my erections will decline but this seems like a HUGE and sudden decline whereas everybody else would go through this process gradually and not noticeably. The only thing I was able to find on the internet that may be effecting my erections would be constant pornagrphy viewing. Is this proven? I do watch pron often and I read online that watching too much pron will cause ED in young men. I am just so sad right now and I can't consentrate at work, I am very easily irritable now and just very annoyed that I can't get erections like I used to. Can you please advise?
You may need to see a psychologist to help you with the anxiety
Detailed Answer:
good day thank you for being with health care magic.
i agree with your doctors for a healthy young adult male the common cause of erectile dysfunction is psychogenic in nature this is correct in 99% of the time exceptions would be patients with known disease of the penis that has caused damage in the vessels what causes erection.
you are suffering from anxiety towards the male organ and it's function and it's causing counterproductive effect on your erections. i suggest seeing a psychologist that specializes in sexual functions because i feel that you may need them more than a urologist.
for my advice i suggest you take deep breaths relax and don't mind the male organ in the meantime and once you're able to do this directions will go back to normal. i agree with limiting exposure to phornographic materials because multiple studies have shown they cause sexual dysfunction in both men and women.

You may need to see a psychologist to help you with the anxiety
Detailed Answer:
good day thank you for being with health care magic.
i agree with your doctors for a healthy young adult male the common cause of erectile dysfunction is psychogenic in nature this is correct in 99% of the time exceptions would be patients with known disease of the penis that has caused damage in the vessels what causes erection.
you are suffering from anxiety towards the male organ and it's function and it's causing counterproductive effect on your erections. i suggest seeing a psychologist that specializes in sexual functions because i feel that you may need them more than a urologist.
for my advice i suggest you take deep breaths relax and don't mind the male organ in the meantime and once you're able to do this directions will go back to normal. i agree with limiting exposure to phornographic materials because multiple studies have shown they cause sexual dysfunction in both men and women.

Stress in general not just about sex or penis may cause erection problems
Detailed Answer:
thank you for your follow up question stress overall not just related to the penis or sex may cause erection issues. if you are stress at work or stress in any way or you are not feeling well or you lack sleep may cause a decline in erection quality. however i think for your case because you suffer from anxiety and different times in your life the effect of stress and anxiety this much larger or worse in your penis because you are focused on that area for the past few months
i want suggest getting into a hobby sports or any other recreation that would take your mind off your penis or nography or any sexual activities hanging out with friends could also help a lot but seeking professional help with the psychologist it's very much recommended in your case

Stress in general not just about sex or penis may cause erection problems
Detailed Answer:
thank you for your follow up question stress overall not just related to the penis or sex may cause erection issues. if you are stress at work or stress in any way or you are not feeling well or you lack sleep may cause a decline in erection quality. however i think for your case because you suffer from anxiety and different times in your life the effect of stress and anxiety this much larger or worse in your penis because you are focused on that area for the past few months
i want suggest getting into a hobby sports or any other recreation that would take your mind off your penis or nography or any sexual activities hanging out with friends could also help a lot but seeking professional help with the psychologist it's very much recommended in your case





You may opt for an doppler ultrasound of the penis for your peace of mind.
Detailed Answer:
phimosis would not cause erectile dysfunction even if you pull the skin or stretch it really really hard. erectile bodies in the penis are three large veins and they are very resilient and cannot be damaged. if ever you're thinking of venous leak on those veins then you won't be able to have any erection because the blood will just seep out of the vessel cannot be contained on these erectile bodies therefore there is no erection.
you may opt to do a doppler ultrasound on the penis to check for adequate flow for your peace of mind. peaceful determine if there is something wrong with the veins in the penis.
terms of the sensory and other innervation of the penis these are very very deep in the pelvic cavity and is not damaged when you corrected your phimosis.
the 1% i was telling you about are those patients who had spinal injury or some forms of neurogenic disease that may cause loss of innervation of the penis and the lower extremities.

You may opt for an doppler ultrasound of the penis for your peace of mind.
Detailed Answer:
phimosis would not cause erectile dysfunction even if you pull the skin or stretch it really really hard. erectile bodies in the penis are three large veins and they are very resilient and cannot be damaged. if ever you're thinking of venous leak on those veins then you won't be able to have any erection because the blood will just seep out of the vessel cannot be contained on these erectile bodies therefore there is no erection.
you may opt to do a doppler ultrasound on the penis to check for adequate flow for your peace of mind. peaceful determine if there is something wrong with the veins in the penis.
terms of the sensory and other innervation of the penis these are very very deep in the pelvic cavity and is not damaged when you corrected your phimosis.
the 1% i was telling you about are those patients who had spinal injury or some forms of neurogenic disease that may cause loss of innervation of the penis and the lower extremities.



Two weeks is a good start.
Detailed Answer:
yes, two weeks is a good start. From then I suggest you take it slowly around one ejaculation a week would do wonders for you. Anything in life that is done more often than it should be and abused is always not good.
I hope you will be feeling better in the coming days and weeks.
Thank you very much for your question.

Two weeks is a good start.
Detailed Answer:
yes, two weeks is a good start. From then I suggest you take it slowly around one ejaculation a week would do wonders for you. Anything in life that is done more often than it should be and abused is always not good.
I hope you will be feeling better in the coming days and weeks.
Thank you very much for your question.


Would the anxiety have effected my morning wood as well?
I probably get morning wood 4 or 5 days a week now instead of every day when I used to.
I read online that not getting morning erections every day is something I should let my doctors know.

Would the anxiety have effected my morning wood as well?
I probably get morning wood 4 or 5 days a week now instead of every day when I used to.
I read online that not getting morning erections every day is something I should let my doctors know.
Yes the morning erections would be less.
Detailed Answer:
Yes definitely it will be affected the morning erections would lessen if everything is not optimal all aspects of your body.

Yes the morning erections would be less.
Detailed Answer:
Yes definitely it will be affected the morning erections would lessen if everything is not optimal all aspects of your body.

Chemosis is usually a congenital anomaly
Detailed Answer:
Phimosis is caused by a fibrotic band in the foreskin that prevents it from being pulled down completely so the head and the coronal mucosa is not completely exposed. sometimes it is caused by infection but more often than not it is because of inborn error.
you should be able to expose the head and the coronal mucosa without any difficulty both in the erected and known erected state.
you may need to do a frenuloplasty or circumcision to resolve the problem.

Chemosis is usually a congenital anomaly
Detailed Answer:
Phimosis is caused by a fibrotic band in the foreskin that prevents it from being pulled down completely so the head and the coronal mucosa is not completely exposed. sometimes it is caused by infection but more often than not it is because of inborn error.
you should be able to expose the head and the coronal mucosa without any difficulty both in the erected and known erected state.
you may need to do a frenuloplasty or circumcision to resolve the problem.


On a similar note...what causes phimosis?
My foreskin would never retract over the glans before i used the steroid cream and after I used it my foreskin retracts all the way down while flaccid but still does not erect al the way down while erect. When I have an erection my foreskin only retracts past the glans and not down the shaft. Would stretching it more make it more retractable? Is it possible that my foreskin can only be strecthed enough to retract over the glans not past the shaft?

On a similar note...what causes phimosis?
My foreskin would never retract over the glans before i used the steroid cream and after I used it my foreskin retracts all the way down while flaccid but still does not erect al the way down while erect. When I have an erection my foreskin only retracts past the glans and not down the shaft. Would stretching it more make it more retractable? Is it possible that my foreskin can only be strecthed enough to retract over the glans not past the shaft?
No need for circumcision there is no bleeding or pain during erection.
Detailed Answer:
If your able to wash it completely and it doesn't cause any pain or bleeding during erection then you don't need a circumcision just need to continue your stretching exercises.
again this is in the absence of pain or bleeding during erection.

No need for circumcision there is no bleeding or pain during erection.
Detailed Answer:
If your able to wash it completely and it doesn't cause any pain or bleeding during erection then you don't need a circumcision just need to continue your stretching exercises.
again this is in the absence of pain or bleeding during erection.




The reason it took me 26 years to realize that uncut men are supposed to be able to retract their foreskin is because I have never had any pain or bleeding in the penis during an erection or while flaccid. They also don't teach this in school so I never was educated to know that the foreskin needs to be retractable.
isn't phimosis more common in certain parts of the world? I am from Armenia originally and I heard somewhere that tight foreskins are common in the Armenia/Turkey/Lebanon region.

The reason it took me 26 years to realize that uncut men are supposed to be able to retract their foreskin is because I have never had any pain or bleeding in the penis during an erection or while flaccid. They also don't teach this in school so I never was educated to know that the foreskin needs to be retractable.
isn't phimosis more common in certain parts of the world? I am from Armenia originally and I heard somewhere that tight foreskins are common in the Armenia/Turkey/Lebanon region.
I'm not certain regarding the epidemiology of phimosis in certain countries
Detailed Answer:
I am not very certain regarding the epidemiology of phimosis in different countries usually it is present and 1% of uncircumcised male children.
I i think there is also bias in countries where they don't do circumcision for religious reasons because a number of uncircumcised men is definitely higher therefore the number of patients with phimosis would also increase.
To summarize i don't think you need circumcision you just need to retract the prepuce regularly to dilate it.

I'm not certain regarding the epidemiology of phimosis in certain countries
Detailed Answer:
I am not very certain regarding the epidemiology of phimosis in different countries usually it is present and 1% of uncircumcised male children.
I i think there is also bias in countries where they don't do circumcision for religious reasons because a number of uncircumcised men is definitely higher therefore the number of patients with phimosis would also increase.
To summarize i don't think you need circumcision you just need to retract the prepuce regularly to dilate it.


also...what would be symptoms of I injured my corpus spongesium? I used to be able to be able to feel it and "pump it" from what I remember but now it seems to be weird.
I'm sorry. I know that there is practically no known reason for me to have physical problems with my erections since i am young and healthy and don't have any vascular disease that I know of but I also do find it a bit unrealistic that the change in the quality/feeling of my erections is due to anxiety since I have been through episodes in my life before where I had anxiety due to my boss, my job, family etc. and I never had erection issues arise because of it. Also, the lack of morning erections is also worrying to me because it's not like I could experience anxiety in my sleep therefore I would wake up with an erection every single day if my penis was mechanically working correctly...not just 5 days of week or something. Plus it's not like my anxiety is that bad to the point where it would prevent blood supply to the penis. Yes, I worry about my erection problem A LOT. Numerous numerous times throughout the day but when I am worrying about these problems its not like I am having rapid heartbeat or sweating or any physical symptoms of being anxious. I am just really worried that in a few years i won't be able to have any erections at all since I am already having these problems right now. And the anxiety that I found online related to ED is performance anxiety...which I don't have. I am not nevous or anxious about how I am performing in bed. I am also experienceing these issues while masturbating so how could that possibly be due to performance anxiety? My doctor is pretty much refusing to order an ultrasound for my peace of mind. All he is doing is reccomonding that I meditate and that he can prescribe me viagra which makes me REALLY mad because I don't want to rely on a drug to give me erections. My whole purpose of going to the doctor is to reverse the damage in my penis (if any). I do not want to rely on taking a fucking drug for the rest of my life. I am only 27...I don't want to start having erection issues now when most men my age aren't. Is it possible I have a unique condition that the doctors haven't studied yet that may be causing this?

also...what would be symptoms of I injured my corpus spongesium? I used to be able to be able to feel it and "pump it" from what I remember but now it seems to be weird.
I'm sorry. I know that there is practically no known reason for me to have physical problems with my erections since i am young and healthy and don't have any vascular disease that I know of but I also do find it a bit unrealistic that the change in the quality/feeling of my erections is due to anxiety since I have been through episodes in my life before where I had anxiety due to my boss, my job, family etc. and I never had erection issues arise because of it. Also, the lack of morning erections is also worrying to me because it's not like I could experience anxiety in my sleep therefore I would wake up with an erection every single day if my penis was mechanically working correctly...not just 5 days of week or something. Plus it's not like my anxiety is that bad to the point where it would prevent blood supply to the penis. Yes, I worry about my erection problem A LOT. Numerous numerous times throughout the day but when I am worrying about these problems its not like I am having rapid heartbeat or sweating or any physical symptoms of being anxious. I am just really worried that in a few years i won't be able to have any erections at all since I am already having these problems right now. And the anxiety that I found online related to ED is performance anxiety...which I don't have. I am not nevous or anxious about how I am performing in bed. I am also experienceing these issues while masturbating so how could that possibly be due to performance anxiety? My doctor is pretty much refusing to order an ultrasound for my peace of mind. All he is doing is reccomonding that I meditate and that he can prescribe me viagra which makes me REALLY mad because I don't want to rely on a drug to give me erections. My whole purpose of going to the doctor is to reverse the damage in my penis (if any). I do not want to rely on taking a fucking drug for the rest of my life. I am only 27...I don't want to start having erection issues now when most men my age aren't. Is it possible I have a unique condition that the doctors haven't studied yet that may be causing this?
Symptoms with be as stated in the detailed answer.
Detailed Answer:
Symptoms for damaged corpus spongiosum would be hematoma on the penis, bruising or discoloration under the skin, and a loud popping sound after the injury.
i still feel what you have is a psychogenic cause for your troubles with your erection. that being said I would suggest looking for a doctor who would request for the ultrasound of the penis with doppler for your peace of mind. that way if the ultrasound says that there is nothing wrong with the flow then you would agree with the doctors that it is psychogenic but in the instance that there is abnormality in the flow then we would all know that something is really wrong with your organ and proper management can be given to you.

Symptoms with be as stated in the detailed answer.
Detailed Answer:
Symptoms for damaged corpus spongiosum would be hematoma on the penis, bruising or discoloration under the skin, and a loud popping sound after the injury.
i still feel what you have is a psychogenic cause for your troubles with your erection. that being said I would suggest looking for a doctor who would request for the ultrasound of the penis with doppler for your peace of mind. that way if the ultrasound says that there is nothing wrong with the flow then you would agree with the doctors that it is psychogenic but in the instance that there is abnormality in the flow then we would all know that something is really wrong with your organ and proper management can be given to you.



I still think you have a psychogenic cause.
Detailed Answer:
if there is a physical or anatomic problem in your organ then it shouldn't wax and wane. it should be a weak erection or an inability to sustain an erection but if it's psychogenic then it comes and goes like what your are describing.

I still think you have a psychogenic cause.
Detailed Answer:
if there is a physical or anatomic problem in your organ then it shouldn't wax and wane. it should be a weak erection or an inability to sustain an erection but if it's psychogenic then it comes and goes like what your are describing.



About 1 month would be a good time to go back to your doctor.
Detailed Answer:
it's really hard to say when you will improve it depends on how the counseling would go for you. i would say about one month you should see or feel some definite improvements.
but of course you have to help yourself to lower your anxiety and try not to stress or over think regarding your erections.

About 1 month would be a good time to go back to your doctor.
Detailed Answer:
it's really hard to say when you will improve it depends on how the counseling would go for you. i would say about one month you should see or feel some definite improvements.
but of course you have to help yourself to lower your anxiety and try not to stress or over think regarding your erections.



Some psychological medications may cause sexual dysfunction.
Detailed Answer:
yes some anti-anxiety drugs and most antidepressants may cause some form of sexual dysfunction that is why counseling is better for you than medications. the prescribing counselors will be able to help you better with this
how frequent will be your sessions with your counselor well of course depend on the counselor after he sees you.
having psychogenic cause of the erectile dysfunction will not cause permanent damage to the organ. 10 able to resolve your psychological issues then you will have a good erection.

Some psychological medications may cause sexual dysfunction.
Detailed Answer:
yes some anti-anxiety drugs and most antidepressants may cause some form of sexual dysfunction that is why counseling is better for you than medications. the prescribing counselors will be able to help you better with this
how frequent will be your sessions with your counselor well of course depend on the counselor after he sees you.
having psychogenic cause of the erectile dysfunction will not cause permanent damage to the organ. 10 able to resolve your psychological issues then you will have a good erection.


I keep reading online that every man without psychological erectile dysfunction should be getting nocturnal penile tumescence 3-5 times per night. I often times am waking up now and i don't have an erection in the mornings and I don't think I am getting them throughout the night often either. Is this a concern? Is it a problem that I am 27 only getting them 3-5 times a week? These past 3 mornings I woke up with no erection...

I keep reading online that every man without psychological erectile dysfunction should be getting nocturnal penile tumescence 3-5 times per night. I often times am waking up now and i don't have an erection in the mornings and I don't think I am getting them throughout the night often either. Is this a concern? Is it a problem that I am 27 only getting them 3-5 times a week? These past 3 mornings I woke up with no erection...
Please see your counselor regarding these concerns.
Detailed Answer:
often times we don't wake up during erections at night hard to say if you have are you didn't have night time tumescence.
yes you should have morning erections because you are still young. however like a said because you are thinking about it so often that is why i feel like i feel anxious regarding your erections now.

Please see your counselor regarding these concerns.
Detailed Answer:
often times we don't wake up during erections at night hard to say if you have are you didn't have night time tumescence.
yes you should have morning erections because you are still young. however like a said because you are thinking about it so often that is why i feel like i feel anxious regarding your erections now.


isn't it possible to have both a physical problem and to be anxious at the same time?
this is making me so worried. wouldn't a urologist know more about nighttime erections than a psychologist? i'm getting so worried now. I feel like going to the ER.

isn't it possible to have both a physical problem and to be anxious at the same time?
this is making me so worried. wouldn't a urologist know more about nighttime erections than a psychologist? i'm getting so worried now. I feel like going to the ER.


Hormone imbalance and anxiety could also decrease morning erection.
Detailed Answer:
for psychogenic problems for erection a psychologist would know how to handle it properly i am certain that you don't have a physical problem for your erection.
hormone imbalances would cause problem with your erections anxiety mood swings and it would definitely affect your morning erection.
you are really worried then you should get an ultrasound even if you will pay it by yourself that way you will know for sure and this will alleviate your anxiety.

Hormone imbalance and anxiety could also decrease morning erection.
Detailed Answer:
for psychogenic problems for erection a psychologist would know how to handle it properly i am certain that you don't have a physical problem for your erection.
hormone imbalances would cause problem with your erections anxiety mood swings and it would definitely affect your morning erection.
you are really worried then you should get an ultrasound even if you will pay it by yourself that way you will know for sure and this will alleviate your anxiety.


i do have a ton of mood wings these days. One moment I feel like I have physical ED and will never have an erection again and the next minute I am happy and optimistic that my ED is all in my head. The main thing holding me back is the morning erections.
I heard that ED in young men is more common know than it was years ago. Is porn to blame for this? How serious are doctors taking ED these days in terms of studys and research in young men? Because honestly it may seem like a non-life threatening thing but some days it does make me wish that I had cancer over this.

i do have a ton of mood wings these days. One moment I feel like I have physical ED and will never have an erection again and the next minute I am happy and optimistic that my ED is all in my head. The main thing holding me back is the morning erections.
I heard that ED in young men is more common know than it was years ago. Is porn to blame for this? How serious are doctors taking ED these days in terms of studys and research in young men? Because honestly it may seem like a non-life threatening thing but some days it does make me wish that I had cancer over this.
This is a very important quality of life issue.
Detailed Answer:
No you do not want to have cancer believe me when i say that.
Doctors are taking it seriously and it is an important quality of life issue.
loss of morning erections may also be caused by abnormalities in sleep pattern due to psychological problems and not necessarily problems in the penis or organ per se.
however research for erectile dysfunction for your age group is scarce because of its rarity and usually the cause is psychogenic.

This is a very important quality of life issue.
Detailed Answer:
No you do not want to have cancer believe me when i say that.
Doctors are taking it seriously and it is an important quality of life issue.
loss of morning erections may also be caused by abnormalities in sleep pattern due to psychological problems and not necessarily problems in the penis or organ per se.
however research for erectile dysfunction for your age group is scarce because of its rarity and usually the cause is psychogenic.


it's just weird how some days I have them and other days I don't
also, what would be some physical causes of premature ejaculation? I used to be able to masturbate or have sex for an hour if I wanted to. now, 30% of the time I feel my ejaculate coming out faster and I have to stop for a while then continue and it is really unenjoyable.

it's just weird how some days I have them and other days I don't
also, what would be some physical causes of premature ejaculation? I used to be able to masturbate or have sex for an hour if I wanted to. now, 30% of the time I feel my ejaculate coming out faster and I have to stop for a while then continue and it is really unenjoyable.
Premature ejaculation is primarily a psychogenic problem.
Detailed Answer:
Premature ejaculation is also link to use of pornographic materials and excessive masturbation. Penile inflammation and over use may lead to sensitivity thereby premature ejaculation.
majority of causes of premature ejaculation is primarily psychogenic in nature. healthy lifestyle sports and exercise would go a long way to help you control your anxiety nearby correct your erections and premature ejaculation due to the release of endorphins that is needed by the body.

Premature ejaculation is primarily a psychogenic problem.
Detailed Answer:
Premature ejaculation is also link to use of pornographic materials and excessive masturbation. Penile inflammation and over use may lead to sensitivity thereby premature ejaculation.
majority of causes of premature ejaculation is primarily psychogenic in nature. healthy lifestyle sports and exercise would go a long way to help you control your anxiety nearby correct your erections and premature ejaculation due to the release of endorphins that is needed by the body.


I will have my first counseling session this Saturday. I will give it a month and see how it goes. I now see what my doctors were talking about when they refused to do further testing on me because I still do get erections just not as frequently and with more arousal needed. Which means that I am physically still able to get them (blood supply and nerves are working). It's just a psychological aspect that I guess needs helping. Either my anxiety or maybe I have been masturbating to too much pronongraphy and need to give it a rest.
I had a question about varicoceles though. I went to the hospital 2 months ago because I felt a lump in my testicle and I thought that might be reason I have been struggling with erections lately. The hospital nurse did a physical exam and told me I have varicoceles. I tried to read about the link between erections and varicoceles online but it looks like not much studies have been done to figure out if there is a link. From your years of studying and practicing urology do you think it is possible to have ED from an early age due to varicocele? also, is it true varicocele causes infertility in men? I know it is common and 15% of men have them but I am still questioning if the real problem lies in my testicle instead of my penis. Do testicles play any part in erections? Or are their main functions just to produce sperm and testosterone?

I will have my first counseling session this Saturday. I will give it a month and see how it goes. I now see what my doctors were talking about when they refused to do further testing on me because I still do get erections just not as frequently and with more arousal needed. Which means that I am physically still able to get them (blood supply and nerves are working). It's just a psychological aspect that I guess needs helping. Either my anxiety or maybe I have been masturbating to too much pronongraphy and need to give it a rest.
I had a question about varicoceles though. I went to the hospital 2 months ago because I felt a lump in my testicle and I thought that might be reason I have been struggling with erections lately. The hospital nurse did a physical exam and told me I have varicoceles. I tried to read about the link between erections and varicoceles online but it looks like not much studies have been done to figure out if there is a link. From your years of studying and practicing urology do you think it is possible to have ED from an early age due to varicocele? also, is it true varicocele causes infertility in men? I know it is common and 15% of men have them but I am still questioning if the real problem lies in my testicle instead of my penis. Do testicles play any part in erections? Or are their main functions just to produce sperm and testosterone?
Varicocele may cause decrease in erection due to low testosterone levels.
Detailed Answer:
thank you for your follow up question.
testosterone is needed for us to have a proper erection and maintaining sexual desire.
there is been some studies linking presence of high grade varicocele and low testosterone levels in men. this in part where the varicocele causes an abnormality in the production of testosterone by the testis thereby causing hypogonadism. although this is not true in all men. patients with varicocele who have symptoms of hypogonadism such as easy fatigability irritability low sexual desire should be tested for total testosterone levels.
surgery for varicocele improve the testosterone levels and also increases sperm concentration.

Varicocele may cause decrease in erection due to low testosterone levels.
Detailed Answer:
thank you for your follow up question.
testosterone is needed for us to have a proper erection and maintaining sexual desire.
there is been some studies linking presence of high grade varicocele and low testosterone levels in men. this in part where the varicocele causes an abnormality in the production of testosterone by the testis thereby causing hypogonadism. although this is not true in all men. patients with varicocele who have symptoms of hypogonadism such as easy fatigability irritability low sexual desire should be tested for total testosterone levels.
surgery for varicocele improve the testosterone levels and also increases sperm concentration.

No need for surgery.
Detailed Answer:
if you have a total testosterone level of 400 then you don't have to worry about hypogonadism or your varicocele causing your erectile dysfunction.
in the absence of pain and with the normal testosterone level then i don't think you need to have your varicocele removed.
varicocele is a simple procedure and can be done as an outpatient procedure and complications rarely occur.

No need for surgery.
Detailed Answer:
if you have a total testosterone level of 400 then you don't have to worry about hypogonadism or your varicocele causing your erectile dysfunction.
in the absence of pain and with the normal testosterone level then i don't think you need to have your varicocele removed.
varicocele is a simple procedure and can be done as an outpatient procedure and complications rarely occur.




do u know know the feeliing of "pumping ur penis"? is it also possible that the days where i dont get morning/noctural erections that my testoserone is below 300? and the next days it is above 300?

do u know know the feeliing of "pumping ur penis"? is it also possible that the days where i dont get morning/noctural erections that my testoserone is below 300? and the next days it is above 300?
I believe you have a psychogenic cause for your erectile dysfunction
Detailed Answer:
Yes, I believe you still have a psychogenic problem rather than a physical problem nor hormonal problem for your erectile dysfunction.
Like I said earlier not all patients with varicocele will have hypogonadism or low testosterone the most of the patients with varicocele have normal testosterone levels and you are included in this group.
Hypogonadism is defined as having symptoms of low testosterone and a testosterone value of less than 100.

I believe you have a psychogenic cause for your erectile dysfunction
Detailed Answer:
Yes, I believe you still have a psychogenic problem rather than a physical problem nor hormonal problem for your erectile dysfunction.
Like I said earlier not all patients with varicocele will have hypogonadism or low testosterone the most of the patients with varicocele have normal testosterone levels and you are included in this group.
Hypogonadism is defined as having symptoms of low testosterone and a testosterone value of less than 100.



Yes i primarily thank you have a psychogenic cause.
Detailed Answer:
yes that is psychologic because all your examinations are all normal. we didn't see anything among all your tests that could point out to that you have a physical and hormonal cause for your erectile dysfunction.

Yes i primarily thank you have a psychogenic cause.
Detailed Answer:
yes that is psychologic because all your examinations are all normal. we didn't see anything among all your tests that could point out to that you have a physical and hormonal cause for your erectile dysfunction.


I am 27 years old and up until 5 months ago I had absolutely no idea that uncircumcised men were able to retract their foreskin. I never was able or even tried to retract my foreskin all of these years because I never knew that we were supposed to. So when I found out about it 5 months ago I went to my doctor and he prescribed me triamcinolone cream. I applied the cream on the tip of my penis and did my stretching excersizes with q-tips and, to my XXXXXXX I was able to retract my foreskin past my glans on the very first day (something I wasn't able to do before). I stopped doing the streching excersizes after about a week. I started doing it again for about another week but stopped again because I think I was stretching too hard and it caused some painful tears on the ring of my foreskin. I am able to retract fully with a flaccid penis but can only retract over my glans when my penis is erect. When I have an erection my foreskin becomes so tight right after the glans of the penis that I am unable to retract any more.
If I do more stretching and apply the cream will my phimosis completely disappear? Or is it possible that my phimosis can only be corrected half way? Since I was able to stretch it this much to have it be completely retracted while flaccid is it possible that it won't stretch anymore while erect?
also, I was also wondering why causes phimosis? It made me very insecure especially reading online that phimosis is extremely rare and that 99.9% of little boys are able to naturally retract their penis. Why would I be in such a rare category with my foreskin?

I am 27 years old and up until 5 months ago I had absolutely no idea that uncircumcised men were able to retract their foreskin. I never was able or even tried to retract my foreskin all of these years because I never knew that we were supposed to. So when I found out about it 5 months ago I went to my doctor and he prescribed me triamcinolone cream. I applied the cream on the tip of my penis and did my stretching excersizes with q-tips and, to my XXXXXXX I was able to retract my foreskin past my glans on the very first day (something I wasn't able to do before). I stopped doing the streching excersizes after about a week. I started doing it again for about another week but stopped again because I think I was stretching too hard and it caused some painful tears on the ring of my foreskin. I am able to retract fully with a flaccid penis but can only retract over my glans when my penis is erect. When I have an erection my foreskin becomes so tight right after the glans of the penis that I am unable to retract any more.
If I do more stretching and apply the cream will my phimosis completely disappear? Or is it possible that my phimosis can only be corrected half way? Since I was able to stretch it this much to have it be completely retracted while flaccid is it possible that it won't stretch anymore while erect?
also, I was also wondering why causes phimosis? It made me very insecure especially reading online that phimosis is extremely rare and that 99.9% of little boys are able to naturally retract their penis. Why would I be in such a rare category with my foreskin?
Constant dilation in continuing the medicine would eliminate your phimosis
Detailed Answer:
Phimosis can be acquired thru recurrent infections in the penis and it can also be how congenital anomaly wherein there is a fibrotic abnormal banned in the foreskin preventing the head of the penis to be exposed properly during erect and flaccid state.
continuing the corticosteroid ointment or cream and constant dilation of the foreskin would definitely eliminate your phimosis.

Constant dilation in continuing the medicine would eliminate your phimosis
Detailed Answer:
Phimosis can be acquired thru recurrent infections in the penis and it can also be how congenital anomaly wherein there is a fibrotic abnormal banned in the foreskin preventing the head of the penis to be exposed properly during erect and flaccid state.
continuing the corticosteroid ointment or cream and constant dilation of the foreskin would definitely eliminate your phimosis.


How many minutes per day should I be stretching?
I just want to make sure that it is not possible for phimosis to only be partially curable. I read some stories online of men who do not see results from stretching and therefore need to go through circumsition but if I already was able to stretch enough for the entire penis to be retracted while flaccid it is still possible to have it stretch all the way down while erect?

How many minutes per day should I be stretching?
I just want to make sure that it is not possible for phimosis to only be partially curable. I read some stories online of men who do not see results from stretching and therefore need to go through circumsition but if I already was able to stretch enough for the entire penis to be retracted while flaccid it is still possible to have it stretch all the way down while erect?
The cream is twice a day for three months.
Detailed Answer:
You may use the cream 2 times a day for 3 months. just make sure we are just putting enough and not so much to avoid absorption systemically.
Dilation can be done two to three times a day and even after you're able to expose the head continue dilation so it doesn't come back.
Yes is it is possible for it to be pulled down even on an erected state.

The cream is twice a day for three months.
Detailed Answer:
You may use the cream 2 times a day for 3 months. just make sure we are just putting enough and not so much to avoid absorption systemically.
Dilation can be done two to three times a day and even after you're able to expose the head continue dilation so it doesn't come back.
Yes is it is possible for it to be pulled down even on an erected state.

99% resolves naturally.
Detailed Answer:
A commonly cited incidence statistic for pathological phimosis is 1% of uncircumcised males. In more than 90% of cases, this phimosis resolves by the age of seven, and in 99% of cases by age 16.
Pain and inability to push it down further is abnormal and you have few phimoses.
Please continue with the treatment as previously discussed with the steroid ointment and the dilation. If after three months this has not yet resolve then circumcision or a frenuloplasty can be done.

99% resolves naturally.
Detailed Answer:
A commonly cited incidence statistic for pathological phimosis is 1% of uncircumcised males. In more than 90% of cases, this phimosis resolves by the age of seven, and in 99% of cases by age 16.
Pain and inability to push it down further is abnormal and you have few phimoses.
Please continue with the treatment as previously discussed with the steroid ointment and the dilation. If after three months this has not yet resolve then circumcision or a frenuloplasty can be done.


would you happen to know what percentage of men have chronic phimosis? meaning phimosis that still hasn't naturally cured itself past adolescence or childhood.

would you happen to know what percentage of men have chronic phimosis? meaning phimosis that still hasn't naturally cured itself past adolescence or childhood.

My original question was if it is possible that the stretching excersizes will only help retract the foreskin partially? Since before I was not even able to get my glans out even with a flaccid penis but now I can retract all the way down while flaccid that means the stretches are working right? It isn't likely that my tightness while erect won't go away either right?
Also, what would be the link between psoriasis/eczema and phimosis? I used to get eczema scars on my foreskin when I was a teenager so would that have effected the phimosis?
Also, is checking for phimosis a general physician procedure to check up on? I've went to several doctors growing up and not one doctor ever told me that i had phimosis. My parents didn't tell me either. I just feel annoyed because if at least 1 person paid even a 1% attention to this it would have been resolved a long time ago, not at 27 years old...

My original question was if it is possible that the stretching excersizes will only help retract the foreskin partially? Since before I was not even able to get my glans out even with a flaccid penis but now I can retract all the way down while flaccid that means the stretches are working right? It isn't likely that my tightness while erect won't go away either right?
Also, what would be the link between psoriasis/eczema and phimosis? I used to get eczema scars on my foreskin when I was a teenager so would that have effected the phimosis?
Also, is checking for phimosis a general physician procedure to check up on? I've went to several doctors growing up and not one doctor ever told me that i had phimosis. My parents didn't tell me either. I just feel annoyed because if at least 1 person paid even a 1% attention to this it would have been resolved a long time ago, not at 27 years old...
If conservative management doesn't work then you may need surgery.
Detailed Answer:
Yes, there is a possibility with conservative treatment your phimosis would not completely go away when you might end up with circumcision or frenuloplasty.
There is a good chance that with the steroids and the dilation that you may be able to completely resolved your phimosis. Only time could tell whether conservative treatment would work or not.
Eczema or psoriasis in the foreskin and in the penis is related to scar formation thereby might be causing the fibrotic ring in your foreskin. You may have a condition called lichen sclerosis in which there are white plaques in the penis and the anus and this may cause phimosis and other penile deformities. We suggest seeing a urologist so you may be able to do a complete physical examination and may advise you on what to do.
There is improvement with the conservative treatment of stretching and the steroids so there is a good chance that you will be able to dilate hit to the point wherein it can freely be exposed on the erect state.

If conservative management doesn't work then you may need surgery.
Detailed Answer:
Yes, there is a possibility with conservative treatment your phimosis would not completely go away when you might end up with circumcision or frenuloplasty.
There is a good chance that with the steroids and the dilation that you may be able to completely resolved your phimosis. Only time could tell whether conservative treatment would work or not.
Eczema or psoriasis in the foreskin and in the penis is related to scar formation thereby might be causing the fibrotic ring in your foreskin. You may have a condition called lichen sclerosis in which there are white plaques in the penis and the anus and this may cause phimosis and other penile deformities. We suggest seeing a urologist so you may be able to do a complete physical examination and may advise you on what to do.
There is improvement with the conservative treatment of stretching and the steroids so there is a good chance that you will be able to dilate hit to the point wherein it can freely be exposed on the erect state.


Is there seriously no other alternative invented? It’s either trying the cream or getting surgery? Is there a stronger cream I could use or a more effective way of stretching?

Is there seriously no other alternative invented? It’s either trying the cream or getting surgery? Is there a stronger cream I could use or a more effective way of stretching?
Then just continue with steroids and the dilation.
Detailed Answer:
you can opt for frenuloplasty rather than the full circumcision. that way still maintain the skin covering the head of the penis but the opening will be much wider. complications for both procedures would be infection bleeding and for circumcision there might be a decrease in sexual sensation but it is still debatable.
there is no stronger cream for this. if you are not open for surgery then just continue with the steroids and the dilation

Then just continue with steroids and the dilation.
Detailed Answer:
you can opt for frenuloplasty rather than the full circumcision. that way still maintain the skin covering the head of the penis but the opening will be much wider. complications for both procedures would be infection bleeding and for circumcision there might be a decrease in sexual sensation but it is still debatable.
there is no stronger cream for this. if you are not open for surgery then just continue with the steroids and the dilation


Also, going back to my original concern about erections the whole reason I thought I had ED was because one day I felt that my penis felt numb. Not numb in the way where I touched it and I couldn’t feel anything but in the way where you normally would feel sensation down there even when a penis is flaccid but in my case I felt that nothing was happening down there and I couldn’t “nudge” it or squeeze it. I don’t know if I am making much sense but I just want to know if there is a name for this do I could read up on it more.

Also, going back to my original concern about erections the whole reason I thought I had ED was because one day I felt that my penis felt numb. Not numb in the way where I touched it and I couldn’t feel anything but in the way where you normally would feel sensation down there even when a penis is flaccid but in my case I felt that nothing was happening down there and I couldn’t “nudge” it or squeeze it. I don’t know if I am making much sense but I just want to know if there is a name for this do I could read up on it more.
Penile frenulum is the name of that area
Detailed Answer:
no both procedures would not cause any problems in terms of your erections.
the area where your most sensitive to called the penile frenulum.

Penile frenulum is the name of that area
Detailed Answer:
no both procedures would not cause any problems in terms of your erections.
the area where your most sensitive to called the penile frenulum.


The fact that I can't find anything online or have any doctor understand what I'm trying to say is making me more concerned that I have some rare penis issue.
Please let me know how I can make myslef more clear so you can better understand me. You know the feeling where you can "pump" your penis or even feel your penis without touching it? You can just use your testicles or penile muscles or perineum to move or squeeze your penis? What is it called when you don't feel that sensation? This has nothing to do with actually touching your penis and not feeling it with your hands. I'm talking about not feeling it thorughout your body in its flaccid state.
Again, please let me know how else I can explain this.

The fact that I can't find anything online or have any doctor understand what I'm trying to say is making me more concerned that I have some rare penis issue.
Please let me know how I can make myslef more clear so you can better understand me. You know the feeling where you can "pump" your penis or even feel your penis without touching it? You can just use your testicles or penile muscles or perineum to move or squeeze your penis? What is it called when you don't feel that sensation? This has nothing to do with actually touching your penis and not feeling it with your hands. I'm talking about not feeling it thorughout your body in its flaccid state.
Again, please let me know how else I can explain this.
External sphincter and pelvic levator muscles.
Detailed Answer:
that is contraction of the external sphincter and the pelvic levator muscles. that is when you try to pump the penis or when you try to stop urination in the middle of it.

External sphincter and pelvic levator muscles.
Detailed Answer:
that is contraction of the external sphincter and the pelvic levator muscles. that is when you try to pump the penis or when you try to stop urination in the middle of it.



Nerve impingement problems will cause decrease and sensation.
Detailed Answer:
good day and thank you for being with health care magic thank you for your follow up question
some diseases may cause numbness and weakness of those muscles particularly multiple sclerosis other neurologic problems that may damage the nerves spine problems also that will cause nerve impingement.
symptoms of be loss of sensation weakness in those muscles sometimes there will be nerve pain sudden jolt of pain like electricity running.
the absence of the laboratory examinations i can not be able to determine which you have if you have any disease at all.

Nerve impingement problems will cause decrease and sensation.
Detailed Answer:
good day and thank you for being with health care magic thank you for your follow up question
some diseases may cause numbness and weakness of those muscles particularly multiple sclerosis other neurologic problems that may damage the nerves spine problems also that will cause nerve impingement.
symptoms of be loss of sensation weakness in those muscles sometimes there will be nerve pain sudden jolt of pain like electricity running.
the absence of the laboratory examinations i can not be able to determine which you have if you have any disease at all.


Physchological causes would also cause no morning wood?

Physchological causes would also cause no morning wood?
Occasional morning erections are expected but not everyday.
Detailed Answer:
yes that is correct morning erections are not expected everyday as long as you get them occasionally that is fine.
psychologically directions and morning erections can be affected because of the release of hormones from the brain. like saying when you are depressed you don't have the libido or the urge to have intercourse.

Occasional morning erections are expected but not everyday.
Detailed Answer:
yes that is correct morning erections are not expected everyday as long as you get them occasionally that is fine.
psychologically directions and morning erections can be affected because of the release of hormones from the brain. like saying when you are depressed you don't have the libido or the urge to have intercourse.


Also, let's say if I did have physical ED...would I also have any other symptoms other than in the penis? Obviously, if one of the penile muscles was broken or if a vein was broken (which is not the case I don't think) I would only have symtoms in my penis. But if this was a vascular reason (not enough blood supply) would I also have symptoms elsewhere in the body?
It's really hard to try and 100% think nothing is physically wrong. I hear some stories of people who went to all these different doctors and they all said that everything is fine and they ended up with an actual chronic disease or disorder, etc. So sometimes I feel maybe that is the case with me too.
I know you said in a previous post that if I had physical erection problems that it wouldn't just come and go and that if I am able to get an erection even once a week that means that "mechanically" everything is working correctly except for the brain but just theoretically and scientifically is there any way that it could be a "come and go" thing?

Also, let's say if I did have physical ED...would I also have any other symptoms other than in the penis? Obviously, if one of the penile muscles was broken or if a vein was broken (which is not the case I don't think) I would only have symtoms in my penis. But if this was a vascular reason (not enough blood supply) would I also have symptoms elsewhere in the body?
It's really hard to try and 100% think nothing is physically wrong. I hear some stories of people who went to all these different doctors and they all said that everything is fine and they ended up with an actual chronic disease or disorder, etc. So sometimes I feel maybe that is the case with me too.
I know you said in a previous post that if I had physical erection problems that it wouldn't just come and go and that if I am able to get an erection even once a week that means that "mechanically" everything is working correctly except for the brain but just theoretically and scientifically is there any way that it could be a "come and go" thing?
There is no absolute value on how many morning erections to get in a week.
Detailed Answer:
there is no normal values or definite number of morning erections to say if it is normal or not. morning erections is a largely related to having a good night sleep and you have to have an rem cycle to may be able to get morning erections in the morning.
Peripheral artery disease signs and symptoms include:
Painful cramping in one or both of your hips, thighs or calf muscles after certain activities, such as walking or climbing stairs (claudication)
Leg numbness or weakness
Coldness in your lower leg or foot, especially when compared with the other side
Sores on your toes, feet or legs that won't heal
A change in the color of your legs
Hair loss or slower hair growth on your feet and legs
Slower growth of your toenails
Shiny skin on your legs
No pulse or a weak pulse in your legs or feet
Erectile dysfunction in men.
no i don't see any physical disease that may cause come and go erectile dysfunction problems except for psychogenic reasons.

There is no absolute value on how many morning erections to get in a week.
Detailed Answer:
there is no normal values or definite number of morning erections to say if it is normal or not. morning erections is a largely related to having a good night sleep and you have to have an rem cycle to may be able to get morning erections in the morning.
Peripheral artery disease signs and symptoms include:
Painful cramping in one or both of your hips, thighs or calf muscles after certain activities, such as walking or climbing stairs (claudication)
Leg numbness or weakness
Coldness in your lower leg or foot, especially when compared with the other side
Sores on your toes, feet or legs that won't heal
A change in the color of your legs
Hair loss or slower hair growth on your feet and legs
Slower growth of your toenails
Shiny skin on your legs
No pulse or a weak pulse in your legs or feet
Erectile dysfunction in men.
no i don't see any physical disease that may cause come and go erectile dysfunction problems except for psychogenic reasons.


I don't get enough sleep as I should but I definitely wouldn't say I sleep less than the average adult. I also am not stressed out or have anxiety while sleeping (or at least i don't think I do). So by that reasoning I do think it's kinda weird I am only 27 and not getting morning erections.
But I guess I just have to accept this as a psychological cause even though I do think it is strange that my morning erections decreased around the same time that I also felt the numbness in my penis/testicles/anus/groin area.
Another symptom I've been noticing is not being able to maintain an erection as long as I used to. It seems that the second that I no longer feel any arousal my erections go down very quickly and that's both while having sex and masturbating. Even when I do have morning erections they go away very quickly as soon as I wake up. Before, I used to be able to hold it or it would stay longer before going down.
I really would love to know 100% that this is all in my mind but all of these changes in erections are a little too coincidental. I understand that as we get oder the quality if erections change but I don't think that they should change in my 20's....and if they do I definitely don't think they should be drastic enough for me to notice. Correct me if I am wrong but it would be more of a slow and gradual/unnoticeable change.

I don't get enough sleep as I should but I definitely wouldn't say I sleep less than the average adult. I also am not stressed out or have anxiety while sleeping (or at least i don't think I do). So by that reasoning I do think it's kinda weird I am only 27 and not getting morning erections.
But I guess I just have to accept this as a psychological cause even though I do think it is strange that my morning erections decreased around the same time that I also felt the numbness in my penis/testicles/anus/groin area.
Another symptom I've been noticing is not being able to maintain an erection as long as I used to. It seems that the second that I no longer feel any arousal my erections go down very quickly and that's both while having sex and masturbating. Even when I do have morning erections they go away very quickly as soon as I wake up. Before, I used to be able to hold it or it would stay longer before going down.
I really would love to know 100% that this is all in my mind but all of these changes in erections are a little too coincidental. I understand that as we get oder the quality if erections change but I don't think that they should change in my 20's....and if they do I definitely don't think they should be drastic enough for me to notice. Correct me if I am wrong but it would be more of a slow and gradual/unnoticeable change.
Can't really say a hundred percent and yes symptoms should be gradual
Detailed Answer:
The only way to say that 100% and everything is in your mind to do the testing with your penis but you'll have to pay for it because I don't think the doctors there will request it under your insurance.
Yes, you are correct in saying that it should be gradual and not as drastic as what you have experienced.
They still believe you have a psychogenic problem with terms of your erections and based on the type of your questions, you seem to be the type to be worried a lot with numerous things and since erection is the focus of your attention that's why you have experiencing problems with it.
Like I said before it should be better for you to see psychologist that specializes in sexual medicine.

Can't really say a hundred percent and yes symptoms should be gradual
Detailed Answer:
The only way to say that 100% and everything is in your mind to do the testing with your penis but you'll have to pay for it because I don't think the doctors there will request it under your insurance.
Yes, you are correct in saying that it should be gradual and not as drastic as what you have experienced.
They still believe you have a psychogenic problem with terms of your erections and based on the type of your questions, you seem to be the type to be worried a lot with numerous things and since erection is the focus of your attention that's why you have experiencing problems with it.
Like I said before it should be better for you to see psychologist that specializes in sexual medicine.


In terms of the phimosis though. Let's say that the stretching doesn't work. Would I absolutely still NEED to be circumsized? When my penis is flaccid I can retract all the way down to wash my penis (and I do this daily) so if I can't retract all the way day down when erect would that cause any fatal diseases or likeliness of having penile disease/cancer in the future?
To my XXXXXXX when I retracted for the first time earlier this year my penis was not dirty at all. But now it is super clean.

In terms of the phimosis though. Let's say that the stretching doesn't work. Would I absolutely still NEED to be circumsized? When my penis is flaccid I can retract all the way down to wash my penis (and I do this daily) so if I can't retract all the way day down when erect would that cause any fatal diseases or likeliness of having penile disease/cancer in the future?
To my XXXXXXX when I retracted for the first time earlier this year my penis was not dirty at all. But now it is super clean.
No need for circumcision if you're comfortable with the foreskin.
Detailed Answer:
with regards to your phimosis, no it will not cause any problem if you're not able to fully retracted during erections except for the pain that you will be feeling and possibly some small cuts in the prepuce that might bleed and cause caring in the future .
as long as you are properly cleaning your organ when it is flaccid then the risk of having infection or cancer is very low and is the same as for a circumcised man.
if you can live with the foreskin not be able to fully retracting erections then you don't need to do a circumcision. primarily the circumcision is for you to improve your quality of life not dealing with pain during erections.

No need for circumcision if you're comfortable with the foreskin.
Detailed Answer:
with regards to your phimosis, no it will not cause any problem if you're not able to fully retracted during erections except for the pain that you will be feeling and possibly some small cuts in the prepuce that might bleed and cause caring in the future .
as long as you are properly cleaning your organ when it is flaccid then the risk of having infection or cancer is very low and is the same as for a circumcised man.
if you can live with the foreskin not be able to fully retracting erections then you don't need to do a circumcision. primarily the circumcision is for you to improve your quality of life not dealing with pain during erections.

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