The first time I had the desire but couldn't get an erection, is there a disease?

Patient's question:

Just frustrated, I couldn't get an erection. I have desire. We are all college students, secretly meeting in hotels. I feel very embarrassed. Do I have some kind of disease? I don't dare to ask for a second time. Is it necessary to take some medicine? What kind of medicine?

Doctor's answer:

Hello: Your condition may be due to symptoms caused by excessive mental tension! Many men cannot determine whether they suffer from impotence, but they can judge the nature of impotence from the nocturnal erection of the penis. Normal men of all ages can experience reflexive nocturnal erections during sleep. During puberty, there are about 6 erections per night on average, each lasting 20-30 minutes; young and middle-aged men have about 4 erections per night on average; healthy elderly people over 65 still have a total of 1-1.5 hours of erection time per night. Even children often experience penile erections during sleep.
Clearly, nocturnal reflexive erections of the penis are unrelated to sexual stimulation and are not affected by psychological factors. Therefore, they can be used to distinguish whether impotence is caused by psychological factors or by medical factors. If an impotent patient has no nocturnal erections or if the degree of erection is below the normal range for their age group, it may indicate a medical factor, requiring further investigation to identify the root cause. If an impotent patient has normal nocturnal erections, it is unlikely to be caused by a medical factor but rather by psychological and mental factors.
Here are several methods for self-assessing nocturnal penile erections:
(1) Stamp Test: Place four around the penis, stick the overlapping parts together to form a ring, and then go to sleep. In the morning, check if the stamp has torn. If it has, it indicates nocturnal erections. If the overlapping part comes loose without tearing, it has no meaning.
(2) Penile Circumference Measurement: There is a commercially available tape measure (usually paper-based) with one end connected to a square buckle. Before going to sleep, wrap it around the penis

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