What's the reason for the sudden softness?

Sudden weakness after a male erection may be caused by factors such as psychological stress, abnormal vascular function, imbalance of hormone levels, drug side effects, or chronic diseases.

1. Psychological pressure:

Psychological factors such as anxiety, depression or strained relationships with partners can interfere with the conduction of sexual excitement, leading to insufficient congestion of the corpus cavernosum of the penis. The typical manifestation is that the erection subsides rapidly after being distracted during sexual intercourse, and is usually not accompanied by the characteristics of organic lesions. It can be alleviated through psychological counseling and partner communication. In severe cases, it needs to be combined with cognitive behavioral therapy.

2. Abnormal blood vessel function:

Vascular problems such as atherosclerosis or venous insufficiency can affect the maintenance of erection and are common in patients with hypertension and diabetes. It may be accompanied by chest tightness or lower limb edema after exercise, and needs to be confirmed by vascular ultrasound. Improvement methods include controlling underlying diseases and taking vasoactive drugs such as sildenafil.

3. Hormone level imbalance:

Insufficient testosterone secretion will reduce sexual desire and erection hardness, and is more common in middle-aged and elderly men. It may be accompanied by symptoms such as loss of body hair and fatigue, and six sex hormones need to be tested. Supplementing testosterone undecanoate can improve the condition, but it must be used after ruling out the risk of prostate cancer.

4. Drug side effects:

Antidepressants such as paroxetine and antihypertensive drugs such as metoprolol may interfere with erectile function. It usually appears after 2-4 weeks of taking the medication and can recover after stopping the medication or changing the medication. It is recommended to record the medication time and symptom changes for the doctor’s reference.

3. Chronic diseases:

Diseases such as diabetic neuropathy and multiple sclerosis can damage erection-related nerve conduction. This type of situation is often accompanied by symptoms of the original disease, such as numbness in the hands and feet, abnormal urination, etc. Priority needs to be given to controlling blood sugar and other indicators, and long-acting PDE5 inhibitors such as tadalafil should be used in conjunction.

It is recommended to maintain moderate aerobic exercise to improve vascular function, such as brisk walking for 30 minutes three times a week； Increase arginine-rich foods such as deep-sea fish and nuts ； Avoid staying up late and drinking excessive amounts of alcohol. If sudden weakness occurs frequently and is accompanied by decreased morning erections, nighttime penile erection monitoring NPT is required to distinguish psychological or organic causes. Partners can reduce the patient's psychological pressure through non-penetrative sex, and when necessary, visit the men's department to check for potential risks such as diabetes and cardiovascular disease.