What are the reasons for the inability to achieve an erection during sexual activity?

Patient's question:

The penis cannot get erect for sex. What other methods can make the penis get erect quickly. It is very erect when waking up.

Doctor's answer:

If men have excessive mental stress, it can lead to difficulties in male penile erection, mainly because it affects the release of central nervous system neurotransmitters, the excitement of the sympathetic nervous system, and the imbalance of endocrine hormone regulation. Sexual ignorance or incorrect sexual education, psychological trauma, marital discord between couples, fatigue, and an unsatisfactory sexual life environment are also psychological factors that can affect penile erection difficulties. Some organic problems can also lead to difficulties in male penile erection. For example: incomplete development of male reproductive organs, congenital penile curvature, urethral duplication or duplication; surgery or trauma that causes injury to the penis or urethra may also damage nerves or the corpus cavernosum.

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