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ED Doctor Visit

Quick question:

I've posted numerous times on this website about dealing with erection issues.  I'm 25 years old and while I'm able to have sex normally in certain instances, the majority of the time I have difficulty even getting a hard 90% erection that stands on end anymore...even during masturbation in the comfort of my own home.  

I've been to numerous doctors, including urologists, since the time I was 19 years old as I've been dealing with this issue for some time.  Most of the physicians with whom I had met think it's stress related however, some think it's a combination of multiple factors.

Let me be clear, I am EXTRAORDINARILY healthy.  I work out every day, sometimes even twice a day as I train jiu jitsu, and have a very strict/clean diet.  Mostly organic and six small meals per day.  I drink in moderation and the only vice I do have is I've been a daily marijuana smoker since the time I was about 18 years old.  Please note that now as a professional, I have only a couple of puffs of a joint per day.  Either way, most of the physicians with whom I had met explained they don't think that's the reason.  My blood pressure is that of an athlete's (110/60) and everything else seems to be A-ok with me.

My question is this, among my symptoms include getting either no erection at all or as very flaccid (about 40-50%) erection when I wake up.  All of the physicians with whom I've met say I'm healthy as a horse; however, I've read that not waking up with an erection is an early sign of cardiovascular disease.  If every doctor with whom I've met says I'm fine, can I just assume they've run enough tests to rule this out?  Or is an increased risk of cardiovascular disease something you can't necessarily test for?  Just wondering if there's any truth to this as other than a weak erection, I'm totally fine.

Thanks,
BigBoi223
11 Responses
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Avatar universal
I'm actually in the same boat as you, bigboi. I'm not 19 right now and have been experiencing the issue for months now. I would describe my ED the same way you did and it is really irritating. The last urologist I saw basically told me to wait till I'm old enough to take viagra because he wouldn't prescribe it to a "kid". I'm in good health, not the best I've ever been in but I work out daily. T is good too but the only way I can get a good erection consistently (good enough for intercourse) is to forego masterbation for 2-3 days and build to it. I've had a few random erections and morning woods that were hard but nothing compared to what I could do just at the beginning of the school year. My only thought of ehatbit can be is a venous leak and if it can be caused by pressure over time, I would often stretch out my erection from the base (like grab it and stretch side to side) simply bc it felt good but it may have cause my current predicament. I've had good sex since I've had this problem but my stamina, hardness, and endurance have dropped when I can actually have sex (prob like a 50/50 shot). If u ever didstrerching at the base there might be a connection there?
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Avatar universal
Did you ever figure it out?? What happend?
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Avatar universal
#1 Okay, we can rule out the pot but pot is still considered a depressant (even though it relaxes you). Like I said, the pot may not be effecting that much right now but over time (once enough is in your system) it will play a part with your erections. Right now, we don't know if thats the main contributory because you're still messing around with it. Like I said, we have to eliminate all nonsense and just work with having sex.

#2 You are comparing your morning erections to past women and present women. In between this time, you need analyze and figure out when you started experiencing these issues with your erections and give it some deep thought. Something happened along the way...

#3 Taking viagra, cialis, or whatever at your age is abnormal but believe it or not there are plenty others your age thats taking medicine. Just because you're healthy doesn't mean you can't cause some sort of trauma to your penis in your younger days that is causing you to have erectional problems now. Yes it is true at your age it's usually psychological but it is possible to have physical problems at 25. I'll be honest with you. I've been taking those medications on and off since I was 21. I'm 33 now... I don't discuss my medications with random women, only women I see me getting serious with and we already had sex several times (so she knows what I'm working with). Yes, I would like to be off the medication too but I know for a fact I have an underlying medical or physical conditions that affect my erections. And there are times I try without the medication but not with random women (scared I'm going to disappoint them the 1st time we have sex).  I'm not saying this is you too but it could be possible!

#4 Right now, masturbation twice a day may be too much for your penis. Like I said your penis may be freaking tired. You need to let it get rest for a week ( no sex or nothing) then try masturbation. If you still have soft penis after week with masturbation then it's a lack of  blood flow to the penis situation. Something is blocking the blood from getting to your penis or the blood is sticking (leaking out). You keep mentioning your base. Sounds like you experience some type of trauma to the base of your penis. I know what you mean. It's hard but it doesn't feel supportive of the full erection so the pressure from the base is causing your penis to go down.

#5 I don't really mean lower your testosterone levels. I mean your horniness level. If you masturbate at 6pm and then at 7pm, you're not going to be as horny as you were back at 6pm. So if you are trying to masturbate the 2nd time that day when your penis wasn't really that horny from the beginning, then of course the penis may not achieve a full rock hard erection. And that also means you are reaching ejaculation with a half-hard penis if you choose to continue masturbation.

OVERALL: From what I'm gathering so far, this is some physical issue with the base of the penis.
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Avatar universal
Myron,

I apologize for the multiple messages however, you've been the most responsive and I'm eager to learn as much as I can about this because it PISSES me off.  I had one follow up questions.  I had a girlfriend over the summer for about 3 months and only used viagra for the first couple of weeks.  After that I had normal intercourse.  It wasn't the same as when I was a teenager but overall, it was still very enjoyable sex on both of our parts.  I remember waking up at her place and mine a number of times having completely normal throbbing morning erections.  If I experience these intermittently, does it still sound as though there is an underlying problem?  Thanks.

-BigBoi223
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Avatar universal
Myron,

To answer your questions:

#1. I've done this experiment before under the advisement of a urologist I once saw.  I stopped smoking altogether for a month and a half...still no improvement.  I even went so far as to go on testosterone therapy for a few months and STILL...no improvements.  In either case, most of the docs with whom I've met have told me that if anything, the marijuana has an aphrodisiac type of effect and if anything, should enhance the experience.  I've noticed this to be true actually as I do tend to be more relaxed after I've smoked however, I have greatly cut down on the amount of smoke I put into my body over the years.

#2. I've been studying my body since I was 19 and still cannot figure this out.  Like I said, with certain women I've woken up with full fledged erections without any issues at all.  I've just noticed that much of the time (in the past year or two) the majority of my morning erections are at about 60-70% percent and go away quickly after I've stood up.

#3.Viagra and Cialis work for me 99.9% of the time.  Not too worried about using these as crutches.  However, using these at all at 25 years old is distressing as I do not believe that I should have to rely on a pill, given the good shape my body is in, to engage in normal sexual intercourse.

#4. I typically masturbate 1-2 times per day, sometimes more, sometimes less.  I LOVE sex.  I watch pornography like every other guy, but even when I'm alone, I find my erections to be somewhat "bendable" as I said I do not experience the locking type of sensations which causes my penis to be erect at a perfect 90% angle.  It fills up, but then kinda hangs there like a tightly packed balloon without much stability at the base and eventually, goes away.  I almost feel it's as if I've already ejaculated and I'm at the point where my erection is still hard, however, it's on its way down.

#5.  I NEVER heard that too much masturbation would lessen your testosterone levels.  I've spoken to multiple physicians about this and they've all told me this is a huge misconception.

This all scares me.  My biggest concern is not having some bigger cardiovascular-related condition.  I feel fine, I feel healthy, I'm strong as an ox...I just don't get it.  It feels like a futile fight and like its something I'm not able to win..
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Avatar universal
Okay, I got it all... We have different possibilities here so we need to do elimination method...

#1 I get good erections but when I smoke that stuff you talkin about, it did interfere with my erections. It made me more lacksadasical (layed back). Now when I first smoke that stuff my erections were fine but over time it made my erections worst. Its like your immune system fights it at first and then gets adapt to it. So if I was you, leave the pot alone for a month. We need to eliminate that from the equation.

#2 It is possible to get good erections still even though you don't get morning erection. But the disappearance of morning erections is a result from something. You have to study your body over time and figure that out.

#3 Viagra or Cialis does give better erections but if you are experiencing nervousness in the brain, that could counter attack the medicine working. Plus if you're not really horny at the time, the medicine may not work. Or you satisfied yourself thru masturbation pretty recent before you took the medicine to have real sex, the medicine may not work. Or if you smoke pot along with the medicine, that will not make the medicine work. So that explains the medicine!

#4 Masturbation on a daily basis is all good but eventually it may catch up to you and give you hard problems getting a full erection with a woman. When a woman plays with your penis, how does it feel? Do you enjoy it or do you feel like she not stroking it as good as you do? If you feel she is not stroking it right, then thats a psychological issue going on in your head because your mind and penis is used to you stroking it better. If thats the case, stop masturbating for a while (like a month) so you can become more use to a woman stroking your penis rather than you.

#5 If your penis was hard thru masturbation and as soon as you let go (stimulating it) and it started to go down 30-45 seconds, you either have:

a) a tired penis (need to lay low masturbation for a couple weeks to see if that makes difference)

b) you are attempting masturbation when you're not really horny. the penis is not going to give you a much great erection if testosterone levels are down from the constant ejaculation.

c) or you have a minor venous leak at the base of the penis. Venous Leak: An erection is produced when blood to the penis compress the veins in the corpora cavernosa so the blood cannot leave. Venous leakage is a result of these veins not closing well enough to retain the blood, and the erection is lost.

If it is (c), you can only experience venous leak thru some type of trauma to the penis like:

1) bending down on the penis too hard constantly (applying pressure to the base of the penis)

2) masturbating prone, meaning humping the bed, not allowing your penis to rise when fully hard, something is pushing on the base of the penis

3) a girl accidentally landing on your penis too hard (bending the penis while fully hard)


OVERALL, we have to figure out if this is all physical, or part physical/psychological. It's definitely some physical because you're not getting morning erections and no longer have that bounce in your penis when fully hard (I know what you mean)
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Avatar universal
By "a bit" I'm referring to approximately 30-45 seconds.  It almost feels like that valve, or whatever it is, at the base of the penis that traps the blood in the shaft for intercourse is broken.  I can get it up eventually but my penis no longer has that rigidity I used to experience when you do that muscle movement (the one that stops your urination flow?)  I'm doing my best to describe exactly how it is and I know it can be confusing but I hope this makes sense.

Also, I think it's important to note, that this issue began when I was 19.  I took viagra to overcome this hurdle and was able to resume having sex, without the help of pills, for nearly 2 years.  Then, I began dating someone else exclusively about 2 years ago and never had an issue with my erections or morning erection.  Then, about a year ago, I began dating someone new who I had issues with in the beginning, but then no longer had issues.  I was able to on one instance have intercourse seven times in a matter of about 6 1/2 hours.  However, the erections throughout that relationship were still not as firm as they had been when I was younger.

Like I said, this issue has caused great distress in my life as I'm nervous to enter into any new relationship and the fact I'm not getting morning erections anymore makes me think I'll die of cardiac failure by the time I'm 35 or something.  Yes, I know I have some vices in terms of smoking a small amount of pot each day however, I truly believe I do a lot more good for my body than I do harm and have been told by every physician I've seen there's absolutely no reason for me to have this issue as I'm healthy as a horse.  I just don't get it.
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Avatar universal
Rule #1, doctors know very little when it comes to erections. They are all trained to tell you its psychological and if it is physical they have a hard time determining the problem. You better off talking to people that are currently experiencing what you are going thru or someone that already delt with that problem.

"If I let go while masturbating, it'll remain hard for a bit however, it'll quickly dissipate without active stimulation. "

>>>You said it remain hard for a bit. What's a bit??? 30 seconds, 1 minute, 5 minutes, etc.
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Avatar universal
Myron,

Also, as a quick follow up, I should mention that in the past two weeks I've had sex with two different women.  The first, I used absolutely no ED medications and was able to perform multiple times without a problem despite not awakening with an erection.  However, the woman I was with this past week I actually took a 50 mg of viagra, and a little cialis, and I was actually struggling to maintain an erection.  I was able to perform however, it was definitely still a noticeable enough issue.  Like I said, I'm considering my erection issue a lost cause but didn't know if this meant I'm at risk for other serious diseases despite what my physician told me.

-BigBoi223
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Avatar universal
Myron_Long,

Thanks for the quick response.  When I masturbate, it takes a while for my erection to get full and I'd say that at it's max, it's at 80% these days.  It'll get hard; however, it doesn't have that 90 degree "springiness" to it that I believe is controlled by the PC muscle.  It's almost as if I've lost that tight springy feeling altogether.  

If I let go while masturbating, it'll remain hard for a bit however, it'll quickly dissipate without active stimulation.  I didn't mention this in my previous post, but when I spoke to my physician about the lack of morning erections, he said that that does not necessarily constitute an underlying medical issue.  He said yes, in many instances it can however, given my activity level, age and given the fact that everything else related to me is COMPLETELY healthy, he said he does not think this is a physical issue.  I'm just freaked out that I might be showing signs of cardiovascular disease at 25 and be dead in my 40's.  This problem absolutely sux and I'm at the point where I'm convinced there will never be any help for my specific situation.
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Avatar universal
If you are not waking up with erections, there is an obvious underlying medical condition going on that is interrupting the normal blood flow to the penis.

What happens when you masturbate?

#1 Does the penis stay hard on its own for a while after stimulating it or

#2 does it start to go down right away after stimulating it to make it hard (meaning as soon as you let go)?
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