What's the reason why I can't get an erection?

Erectile dysfunction may be caused by psychological stress, vascular disease, hormone imbalance, nerve damage, drug side effects, etc.

1. Psychological pressure:

Chronic anxiety, depression, or partner tension can inhibit the conduction of sexual arousal. When work pressure is high or excessive worry about sexual performance, the excitability of the cerebral cortex is reduced, resulting in insufficient congestion of the corpus cavernosum of the penis. This kind of situation can be improved through psychological counseling or partner communication, and behavioral therapy is required if necessary.

2. Vascular disease:

Arteriosclerosis or high blood pressure can reduce blood flow to the penis. Microvascular disease caused by diabetes may damage the function of cavernosal smooth muscle, and the clinical manifestation is reduced nocturnal erections. Such patients need to control underlying diseases and improve vascular endothelial function to help restore erections.

3. Hormone imbalance:

Decreased testosterone levels directly affect sexual desire and erection hardness. Thyroid dysfunction or pituitary tumors can lead to disrupted gonadotropin secretion. Blood tests can determine hormone levels. Testosterone supplementation should be done under the guidance of a doctor and avoid self-medication.

4. Nerve damage:

Lumbar disc herniation or prostate surgery may damage the nerves that supply the penis. Neurological diseases such as multiple sclerosis can interfere with the erectile reflex arc and are often accompanied by abnormal urination symptoms. Neuroelectrophysiological examination is required to assess the extent of injury.

5. Drug side effects:

Antidepressants, antihypertensive drugs, etc. may interfere with the physiological process of erection. Long-term use of sedatives or antiandrogens can reduce sexual function. It is recommended to record the medication history and communicate with the attending doctor to adjust the plan, and never stop medication without authorization.

It is recommended to maintain regular aerobic exercise to improve blood circulation, and a Mediterranean diet can help maintain blood vessel health. Avoid excessive masturbation and staying up late, and smokers should quit smoking as soon as possible. Partners should provide full understanding and support and participate in the treatment process together. If the symptoms last for more than 3 months or are accompanied by chest pain, blurred vision and other systemic symptoms, you need to immediately go to the urology department or men's department to check for organic diseases. Men over the age of 40 are recommended to check their blood sugar, blood lipids and testosterone levels every year.