Patient's question:
I started masturbating since high school, doing it about three times a week. Now I have a girlfriend, and we've been together for two years. Yesterday, I had sex with her at her home, but I found that my penis didn't get erect, which made me very worried. Could you please tell me what causes erectile dysfunction? What are the reasons that lead to erectile dysfunction!Doctor's answer:
The causes of erectile dysfunction include:Organic factors:
1. Nerve disorders: Such as spinal cord injury, spinal cord transection, spinal cord tumors, and temporal lobe lesions, can all lead to erectile dysfunction due to disruptions in the nerves that transmit excitatory signals.
2. Endocrine disorders: Primarily diabetes, hypothalamic-pituitary abnormalities, and primary gonadal dysfunction.
3. Insufficient blood flow: Atherosclerosis or other vascular diseases can result in insufficient blood flow. Atherosclerosis, if it occurs in the arteries supplying the penis or the vessels responsible for nourishment, can also cause erectile dysfunction.
Psychological factors:
1. Negative feelings toward sex: Failure in the first sexual attempt can bring heavy psychological pressure, making them view sex as dirty, sinful, or dangerous. Any success in sex then clashes severely with their sexual beliefs. Primary erectile dysfunction is often linked to a fear of success.
2. Negative feelings toward oneself: They often lack self-esteem, confidence, and are filled with self-doubt, depression, or poor body image.
3. Negative feelings toward a partner: Lack of communication between partners, arguments, fear of the partner, fear of women, distrust of the partner, even hatred, mismatched sexual desires, and incompatible sexual values and interests.
Erectile dysfunction can cause significant harm to men, severely affecting marital relationships. Minimally invasive sensitive nerve block surgery is the most effective method for treating erectile dysfunction. It is recommended that you seek treatment at a professional hospital as soon as possible.