Hello, welcome to HCM, and thanks for your question.
Erectile dysfunction is a common problem in men. It is related to deficiencies in hormones that cause erections, problems with blood flow to the penis, or neurologic issues that decrease stimulation to the penis.
A full evaluation should be done by a
neurologist and
endocrinologist to rule out deficiencies in nerve conduction and deficiencies in testosterone that can be corrected with surgery and
hormone replacement, respectively.
Sometimes, psychological issues such as performance anxiety can be the cause. This can be treated with psychotherapy, or with medications such as Viagra or Cialis.
If
premature ejaculation is the problem, you can delay orgasm with medications such as SSRI antidepressants.
In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an American doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers