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Hi Doctor, I'm 27 Years Old And Don't Have Any

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Posted on Thu, 26 Dec 2019
Question: hi doctor,

i'm 27 years old and don't have any chronic health condition. for the past 9 months i've been having erection issues. i can achieve an erection, sometimes hard sometimes soft and sometimes my erections go down fast now. i also get fewer morning wood.

i honestly hope this isn't a physical cause. I don't have any other medical condition i can link this too or figure out the cause.

i know there are psycholoigcal issues that could effct erections as well but i dont have performance anxiety and this happens while masturbating as well so what could the cause be?

i took a full blood test and the results for my hormones and other stuff came back normal. my doctors are convinced it is psychological becuase "i'm young" but isn't that unethical to say?
is there no way at all a young person can have organic ED? there are people in their 20's who have cancer so why would doctors ignore the possibility of a person in their 20's having ed?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (7 hours later)
Brief Answer:
Consultation

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

We discussed at the length about your problem and came to (near) conclusion that the problem is psychological rather than the organic.

It is true that people of all ages get problem in erection and it never mean that young person do not get organic erectile dysfunction.

However the following factors strongle indicate that there is psychological problem rather than organic ED.
1. Onset- There was sudden onset
2. Progression- It had fluctuating course
3. Temporal connection with stress- Evidence of more stress you take about it and more problem caused.
4. Presence of normal hormonal levels. 9 months of problem cause definite change in the hormonal profile.
5. Absence of any medical illness- It is almost impossible to get organic ED for otherwise healthy person at your age.

I hope this helps you.
Thanks again.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (19 hours later)
I know on paper it seems like this is psychological but I just have a feeling that my penis feels and functions differently. I don’t know how to explain it. I know it can’t be a hormonal issue because I don’t have other symptoms of hormone diffency. If it is a physical problem I feel it is something that has to do only with my penile artistries since the rest of my body feels and functions normally. That’s why I think this may be due to an artery issue and maybe even vein issue.


What does it say again about venous leaks? Is that linked to sudden onset too? Venous leak could happen to young men as well correct? Maybe even sometimes without any other link?

It’s just so annoying and I can’t help but think about it because sex is very important for every young person so it’s not like I can’t just not think about it. Plus it’s also not reassuring or helping me when I think of the treatment options. Anytime I read about solutions for ED I get even more frustrated and mad and doomed. There isn’t a single treatment option available that would make me happy or hopeful that this will be curable or solved. Do you know if any breakthrough or research will happen in the next year or so for physical erection problems? Especialky for men younger than 50? I obviously wouldn’t be this stressed if this happens to me at 57 versus 27. At 57 I would expect to have several body changes and medical conditions that ED would seem like a petty problem for me but I’m only 27 with no other medical problem and it just seems annoying that this is happening. I’m also having a hard time grasping that anxiety would cause all these changes in penile function. It’s not like I have severe anxiety to the point of me having a panic attack every day. I do think about this issue a lot every day and sometimes I’ll even get really frustrated and annoyed but I’m not having any of the other symptoms of anxiety such as vomiting or fast heart beat or anything. My penis just feels different while flaccid as well. I don’t think anxiety would effect that either.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (34 hours later)
Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for reverting back to me.

I completely understand your frustration and anxiety associated with sexual problem at young age but I feel rather than worrying about it, there is need to act. I do not think getting help of psychologist will be the that difficult in USA as there are many in any area.

I must assure you that despite the forthcoming medical miracles for ED in few years the available treatment option is sufficient to deal with your problem. This is true that anxiety will definitely affect the problem in long run but why to bother when there are lot of treatment options available.

I also understand that venous leaks do occur in young people but they are generally associated with older age and cause slow progression of disease rather than the sudden onset.

I hope this helps you further.
Thanks again.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (2 hours later)
I'm sure getting s psychologist will be in ways but I have to wait until January when my insurance kicks in. I just hope the psychologist helps because I'm honestly getting more and more annoyed and I feel like this could become lifelong.

I understand the treatment options for ED now are sufficient for some men but unfortunately I do not feel the same way. I just don't find it ideal to have to take a pill to get an erection or to get surgery or injections when it is expected that men in their 20's 30's and 40's can achieve and maintain an erection naturally whenever they want. I really don't see the benefit of having to buy pills from now until I die just to have an erection and that comes with million side effects. I took that cialsis that one time and afterward I had a headache and my eyes felt like they were stinging. I just miss the days when I didn't think twice about erections or my penis in general and was able to get erections whenever I wanted. Now sex and everything related to sex or masturbation is so stressful and I can't even escape thinking about it when eveyr single where I turn there's always something about sex. I try to distract myself by watching a movie or 2a TV show but there's tons of sexual content. I try to listen to songs to think of other stuff but that is about sex too. It's just getting so annoying. I have not even been able to do well at work in te last months because I've beenn so distracted. It just gets me so stressed to think I might have to be stuck like this forever and it is not fun not knowing the exact cause for these many months. If there was a treatment I could take that will 100% restore my erectile health and stop me from thinking about this I would do it but unfortunately nothing has been determined yet as far as the cause so I don't want to spend months wasting my time seeing a psychologist when it was a physical problem all along.
Honestly at this point I'd rather have cancer than this.

Plus another symptom I have which I may not have mentioned before is my penis while flaccid sometimes feels like it is beating. Kinda like a heartbeat but more strong and 2 times in a row a few times a day. It happens mainly when I am thinking about my erections or stressed about my erections. I don't know if this is more proof that it is physical or psychological but I honestly don't even know anymore.



Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3352 Questions

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Hi Doctor, I'm 27 Years Old And Don't Have Any

Brief Answer: Consultation Detailed Answer: Hello, Thanks for using Healthcaremagic. We discussed at the length about your problem and came to (near) conclusion that the problem is psychological rather than the organic. It is true that people of all ages get problem in erection and it never mean that young person do not get organic erectile dysfunction. However the following factors strongle indicate that there is psychological problem rather than organic ED. 1. Onset- There was sudden onset 2. Progression- It had fluctuating course 3. Temporal connection with stress- Evidence of more stress you take about it and more problem caused. 4. Presence of normal hormonal levels. 9 months of problem cause definite change in the hormonal profile. 5. Absence of any medical illness- It is almost impossible to get organic ED for otherwise healthy person at your age. I hope this helps you. Thanks again.