ERECTILE DYSFUNCTION (ED) symptoms can throw a wrench into more than just your sex life. Your satisfaction may plummet, but it can also take a toll on your relationship with your partner (not to mention the toll it can take on your confidence).
It’s a disruption many men will experience at some point in their lives. In fact, a little over half of men will experience ED symptoms at some point throughout their lives. It’s not just a concern exclusive to older men, either. Contrary to popular belief, ED signs and symptoms can happen to any man at any age. According to a 2017 study in Translational Andrology and Urology, almost 8 percent of men ages 20 to 29, and 11 percent of men ages 30 to 39, experience ED symptoms.
It’s possible that these signs are actually performance anxiety—where your anxiety over performing well in bed hinders your ability to get hard. Regardless of the mechanism, struggling to get hard and stay hard can be embarrassing and cause issues in your relationship. Luckily, there are plenty of treatment options to relieve these symptoms.
It can feel difficult and embarrassing to talk to your doctor about your sexual functions. Again, this issue is incredibly common, and likely something your doctor deals with all the time. Plus, they’ve likely heard way more embarrassing stories.
Another thing: ED and its symptoms generally do not pop up out of the blue. In many cases, ED symptoms are the body’s way of telling you there is something else going on that may need to be addressed, explains S. Adam Ramin, M.D., medical director of Urology Cancer Specialists in Los Angeles. Below, everything you need to know about ED signs and symptoms.
What Counts as ED?
ACCORDING TO
JUAN Andino, M.D., UCLA Urology Andrology & Infertility Fellow, it all comes down to one
thing: Recurrence.
“Almost all men at
some point experience an episode of what people will call ‘performance anxiety.’ That is
to say, either due to alcohol, lack of sleep, a new partner, or stress they could have a
less-than-satisfactory intimate experience.
But if difficulties with erections become a pattern, regardless of age, it is worth
seeking out an evaluation with a doctor, ideally urologists who are focused on sexual
medicine.
In a 2020 study of almost 400 men under age 40 who were evaluated at The Men’s Clinic at UCLA, the medical team found that 20 percent of patients had prediabetes or diabetes, 20 percent had low testosterone, and 11 percent had lab or physical exam findings suggestive of decreased fertility. In addition to helping treat the problem of ED, they found medical issues which could be improved to better a person’s health and prevent future issues with erectile function and overall health.
These signs point to the risk of ED. Here's what to know.
ED Symptoms to Look Out for:
Trouble getting or maintaining an erection
It's obvious, but these are the easiest signs to spot. Lowered libido can be a sign as well. If you're regularly experiencing any of these, bring it up with your doctor. You might feel awkward when you start to talk about it, but getting a solution will feel a lot better than just worrying about it.
You haven’t woken up with morning wood in a while
Nighttime and early morning erections
have nothing to do with feeling aroused: They happen because your brain releases less
noradrenaline—a hormone that keeps erections from happening nonstop—during sleep.
Having frequent morning wood is a good thing, since it indicates the blood vessels that allow blood to flow to your penis are healthy, says Dr. Ramin.
You don’t think about sex as much as you used to
If the stuff that usually gets you going just isn’t working anymore, there’s a good chance that your testosterone levels are lower than normal.
Testosterone is the main hormone responsible for your sex drive, explains New York-based urologist and sex expert David Shusterman, M.D. If it plummets, your desire to get going in bed may, too. And if you’re not really in the mood, getting hard will be next to impossible.
You don’t get as hard as you used to—or you have trouble staying that way
You’re still getting hard enough for sex. But your penis still might be signaling an issue if you notice any kind of change to your erection—in fact, this can be the early stage of ED.
“It’s usually a slow, progressive problem,” Dr. Ramin says. “Initially, a patient might notice that his erections are not as firm, or that he isn’t able to maintain his erections for as long as before.”
There’s no cutoff level for how soft or short an erection has to be to signify a problem, though. It’s just about changes from your own personal norm, says Dr. Ramin. It’s probably not a big deal if it only happens once. But if you notice it happening frequently and you can’t think of a mental reason why you’d be having trouble getting hard (like you’ve been extra exhausted or stressed), that might be pointing to a bigger issue.
How Is ED Diagnosed?
DR. ANDINO ALWAYS asks his patients who may be experiencing erectile dysfunction symptoms three questions:
- Has your erection been weaker? Is this causing difficulties with intimacy or sexual activities?
- Have you been able to keep an erection long enough for satisfying sex?
- Have you ever taken a pill to help with an erection?
These are just a few prompts to think about that may help you in figuring out whether or not it is worth scheduling an appointment with your doctor to further discuss some potential treatment options. And remember that an occasional episode where an erection is not as hard as before or went away sooner than expected is usually not concerning, says Dr. Andino.
There's no reason to feel embarrassed about needing medical intervention—ED is incredibly common. “For example, 50 percent of men who are 50 or older have ED. However, we also know that in some cases changes in erectile function can precede heart issues by 5 to 10 years. As the research from UCLA shows, even in young men, there can be medical issues that are identifiable and often reversible without requiring life-long medications.”
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