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Erectile Dysfunction Health Center

When Is It Erectile Dysfunction?

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To a healthy young man, erectile dysfunction (ED) may seem unthinkable. You can probably remember times (think back to high school) when you wished it wasn't so easy to get an erection.

But as you age -- and especially when you have diabetes -- you may notice some changes. Maybe it takes more coaxing to get erect than it used to. Sometimes it may take more direct stimulation of the penis, whereas merely a daydream or the suggestion of sex was once enough. Or perhaps your erections aren't quite as firm as they once were, but they're still good enough. These are normal changes.

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Erections: Use It or Lose It?

Men who have trouble getting erections have sex less often than men with normal sexual function, several studies have shown. But can a long sexual dry spell actually cause erectile dysfunction (ED)? And can men cut their risk for ED by having sex (or masturbating) on a regular basis?

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So, when is it erectile dysfunction and when should you seek help? Let's consider a few scenarios:

1. You come home one evening after a long and stressful day at work. Your partner wants to have sex. You think you'd like to also, but you just can't get an erection. The next time you try, everything is fine.

In this case, your problem probably doesn't need medical treatment. It's normal to have erection problems on occasion, as long as it's rare. If it starts to happen more often or lasts more then a few months, you may want to talk to your doctor about it.

2. Sometimes when you try to have sex, you get only partially erect. Your erection isn't rigid enough to enter your partner.

In the most severe cases of erectile dysfunction, a man isn't able to get even slightly erect. But there are degrees of erection problems. Even mild erectile dysfunction is worth discussing with your doctor.

3. You can get a good erection, but after you start to have intercourse you can't maintain it.

This can be very frustrating for you and your partner. Even though you are able to get an erection, if it doesn't last long enough to complete sexual intercourse, you may have erectile dysfunction.

Erectile dysfunction can be caused by a medical problem like diabetes, heart disease, or depression. Physical problems cause an estimated 80% of cases of erection problems. The other 20% of erection problems are psychological. For a long time, doctors thought that erectile dysfunction was mostly "all in one's head." Now they know that is not true. Still, the mind plays a big role in getting an erection. Maybe you're losing your erection during sex due to anxiety or other issues between you and your partner. Your doctor can help you determine the cause.

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