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Date of last update: 10/16/2017.

Forum Name: Male Sexual Disorders

Question: Impotence


 Cornish5 - Mon Jan 31, 2005 5:25 pm

the other night i was out drinking and went back to a girls house and was unable to "get it up" :oops: and now when i try to get an erection it takes time and wont stay for long is this a serios problem :oops:
 Dr. Tamer Fouad - Fri Apr 07, 2006 7:43 am

User avatar Hello,

Two broad categories are organic causes and psychogenic causes.

A person complaining from erectile dysfunction needs to be assessed for the presence of endocrine disturbances, chronic diseases, cardiovascular disease, neurological disease and medications that cause ED all need to be excluded. Cigarette smoking and chronic alcoholism are major contributing factors.

Caution needs to be exercised when making the diagnosis of psychogenic ED, as both organic and psychogenic factors may co-exist.

Psychologic issues such as depression, anxiety are associated with erectile dysfunction in young males and manifest with an abrupt onset. The onset of ED maybe associated with an emotional event. Also in psychogenic ED other sexual functions are normal. If a man regularly experiences a firm morning erection yet also has ED then it is much more likely that psychological factors contribute to his problem. Sometimes patients report that they have experienced similar episodes with spontaneous resolution.

Please discuss these issues with your doctor.

Best regards.

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