ED problem

Im conitinuing to experience problems with my erections. I have another appointment on Jan 11th but I'm losing my mind and am looking for some possible answers. I'm a healthy 26 year old, I dont smoke,I exercise regularly and barely drink. I sit all day at work and often i find it necessary to stand up to relieve a kind of pressure/pain on my butt.  I dont know if that could be related.  I also had a heavy feeling in my testicles for a while and they hung lower than usual and were usually loose.  The testicle problem seems to have passed but ED still exists.  I had an ultra sound on my bladder/scrotum/and kidneys so far.  He also tested hormone levels and checked my prostate with his finger.  All were fine.  I am totally stressed but this is my main stressor by far.  I don't wake up with erections and if I do they are very weak.  This has been going on for about 6 months.  At the onset I started commuting to the city and sitting all day.  I also started seeing someone at that time.  I did get blue balls two days in a row with her which was painful but the erections werent past the 4 hour danger mark of priaprism.  Can blue balls cause damage to sexual function?  Im concerned about corporal fibrosis but from what I read you can only get that through priaprisms that last for many hours.  Any ideas of what the problem could be?  Could general stress cause loss of function, even while sleeping?  Is a more extensive prostate check a good idea?  Do men with corporal fibrosis show any of my symptoms?  Thanks

[Enoch Choi, MD]

When you say ED I assume you mean erectile dysfunction?

Stress is a big contributor to ED.  If you don't wake up with erections I'd be more worried about an organic problem other than stress.

When you say blue balls, you mean you orgasm without ejaculation?  If so, no, that's not damaging to sexual function.

Corporal fibrosis is unusual without priapism or other organic problems.

It's worth looking into more since you don't have erections on awakening.  Consider testing for diabetes, high blood pressure, high cholesterol, and other problems that can affect the blood vessels.

[incog123]

No, when I say Blue balls, I mean being aroused without orgasm.  I never even heard of blue balls from orgasm without ejaculation?  Priaprism isnt caused from sexual desire from what Ive read.  So can being aroused for a while do damage even though its under the 4 hour mark that constitutes priaprism?

[Enoch Choi, MD]

No problem with being aroused without orgasm, that's common and would not be damaging.

It is not damaging to have an erection for less than 4 hours.

The risk of having an erection for more than 4 hours is that the blood can clot in the corpus cavernosum causing a permanent erection

[niceguy37]

Hi, I'm a 37 yo male and am experiencing the same problem(s) as you are, apparently.  I should have an appointment with my Urologist this week to check up on what my GP has already checked.  I too am finding the same thing that is happening to you on wakeup.  Have you tried to use Viagra or any of those and if so, what was the outcome?  I've tried and still have the same problem once penetration starts.  Can you please let me know what the results are of your Jan 11th appointment? I'm at my wits end as well because my partner, which is now separated from me, seems to think its all her and our "chemistry" when I KNOW it isn't.

[Enoch Choi, MD]

good luck with your urology appointment.

you're right, it may not have anything to do with your partner.

One concern for both of you is that erectile dysfunction can be a sign of blood vessel problems, due to one of many possible problems such as diabetes, high blood pressure, high cholesterol, or inheritance.  It's worth checking into these possibilities.