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To visit another urologist or is it a mental problem?
Hello everyone!
Glad to be a part of this large community and to be able to share my issue with someone.
In short, I recently turned 30 and I suffer from erectile dysfunction.
Everything started in 2020 when the pandemic hit us all. As you all know, it was a time of anxiety and uncertainty. On top of that, I had a job that was also stressing me out. I know that, back then, the issue was in my head (stress + anxiety). Fortunately, the issue would be there for a few weeks, and then everything would be fine for a few weeks, so in a way, I learned to live like this.
This year, already in January, as the pandemic seemingly came to an end, and as I have quit my job, things started getting better because I also started to feel better. The issue was still there, but when I was with a woman, there wouldn't be any issues. That "good" period lasted from January to July.
A month ago, I met with an old female friend. We've been together for a few days and nights. The first night was perfect, no issues at all.
During the second night, as we made love, at one moment my penis didn't enter properly and I heard a cracking sound. I was afraid that a penile fracture occured, but there was no pain, no change in color, no blood afterwards in semen or urine. However, during the next couple of minutes my erection got very weak.
The next day I was unable to get a proper erection. Not even hard enough to put a condom on.
Is it possible that a tiny penile fracture happens, small enough to (almost) not have any symptoms, but big enough to cause poor blood flow?
During the next ten days, after the "fracture", my penis was very soft, as if there was no blood in it. Also sometimes it appeared pale. Maybe this was also just in my head. Erections we're almost non-existent, but probably also because of additional stress that I have caused to myself.
I'd like to mention also that last year I started using a prostate massager. I didn't use is too often, maybe 1-2x per month, but I was afraid that I damaged my prostate somehow.
Also, I'm physically very active. Going to the gym and doing a few other sports in free time. My diet is also healthy - no fast or junk food at all, no alcohol, cigarettes, etc. I'm mentioning this because I know that an unhealthy lifestyle can cause ED, but fortunately my lifestyle is not an issue here.
A few days ago, I visited an urologist and told him everything. He conducted an ultrasound exam of the penis and the prostate. He said that there is no damage, that everything is in perfect condition and that everything is most likely only in my head.
He conducted an abdominal exam of the prostate, not a rectal one. Also, he didn't examine my prostate with his finger. I'm thinking about visiting another urologist who will conduct a rectal ultrasound, but I wanted to ask whether this is necessary?
So, now I'm here to hear someone else's opinion and to know what to do next. I've been trying to relax and calm down during the last few days. My erection is better I'd say, but far from being good enough to have intercourse with another person.
By the way, is it even normal to have this issue at the age of 30?
Thanks!
Glad to be a part of this large community and to be able to share my issue with someone.
In short, I recently turned 30 and I suffer from erectile dysfunction.
Everything started in 2020 when the pandemic hit us all. As you all know, it was a time of anxiety and uncertainty. On top of that, I had a job that was also stressing me out. I know that, back then, the issue was in my head (stress + anxiety). Fortunately, the issue would be there for a few weeks, and then everything would be fine for a few weeks, so in a way, I learned to live like this.
This year, already in January, as the pandemic seemingly came to an end, and as I have quit my job, things started getting better because I also started to feel better. The issue was still there, but when I was with a woman, there wouldn't be any issues. That "good" period lasted from January to July.
A month ago, I met with an old female friend. We've been together for a few days and nights. The first night was perfect, no issues at all.
During the second night, as we made love, at one moment my penis didn't enter properly and I heard a cracking sound. I was afraid that a penile fracture occured, but there was no pain, no change in color, no blood afterwards in semen or urine. However, during the next couple of minutes my erection got very weak.
The next day I was unable to get a proper erection. Not even hard enough to put a condom on.
Is it possible that a tiny penile fracture happens, small enough to (almost) not have any symptoms, but big enough to cause poor blood flow?
During the next ten days, after the "fracture", my penis was very soft, as if there was no blood in it. Also sometimes it appeared pale. Maybe this was also just in my head. Erections we're almost non-existent, but probably also because of additional stress that I have caused to myself.
I'd like to mention also that last year I started using a prostate massager. I didn't use is too often, maybe 1-2x per month, but I was afraid that I damaged my prostate somehow.
Also, I'm physically very active. Going to the gym and doing a few other sports in free time. My diet is also healthy - no fast or junk food at all, no alcohol, cigarettes, etc. I'm mentioning this because I know that an unhealthy lifestyle can cause ED, but fortunately my lifestyle is not an issue here.
A few days ago, I visited an urologist and told him everything. He conducted an ultrasound exam of the penis and the prostate. He said that there is no damage, that everything is in perfect condition and that everything is most likely only in my head.
He conducted an abdominal exam of the prostate, not a rectal one. Also, he didn't examine my prostate with his finger. I'm thinking about visiting another urologist who will conduct a rectal ultrasound, but I wanted to ask whether this is necessary?
So, now I'm here to hear someone else's opinion and to know what to do next. I've been trying to relax and calm down during the last few days. My erection is better I'd say, but far from being good enough to have intercourse with another person.
By the way, is it even normal to have this issue at the age of 30?
Thanks!
You may want to make an appointment or see a urologist if you have: difficulty urinating (urinating), including frequent urination, pain, cloudy urine, or blood in the urine. Changes in urination, such as frequent urination or feeling like you always have to go.
Did you tell the urologist about the crack sound?
You can fracture a penis - https://www.mayoclinic.org/healthy-lifestyle/sexual-health/expert-answers/penis-fracture/faq-20058154
The cracking sound is a symptom, but you'd also have pain, an immediate loss of erection, swelling, and discoloration.
So he said it's fine, but what about the discoloration, the not-full erection?
I wouldn't worry about the prostate massager so much as the injury, but if you're concerned, get a second opinion.
You can fracture a penis - https://www.mayoclinic.org/healthy-lifestyle/sexual-health/expert-answers/penis-fracture/faq-20058154
The cracking sound is a symptom, but you'd also have pain, an immediate loss of erection, swelling, and discoloration.
So he said it's fine, but what about the discoloration, the not-full erection?
I wouldn't worry about the prostate massager so much as the injury, but if you're concerned, get a second opinion.
8 Comments
Yes i did tell him. Since I haven't felt any pain afterwards, and since there was no change in color, no blood, etc. he said that it's unlikely that a fracture happened.
The only symptom was a weaker erection, but he claims that this could be caused by me stressing myself out over this. The ultrasound of the penis also showed no fractures.
I had 3-4 good erections during the last month. Maybe 90% of what they used to be, but they don't last very long. Maybe the issue really is only in my head?
Are there any steps to follow on how to overcome this now?
Also, how important is the prostate for a good erection? I've read that many men who got their prostate removed can still get an erection. Is this true?
The only symptom was a weaker erection, but he claims that this could be caused by me stressing myself out over this. The ultrasound of the penis also showed no fractures.
I had 3-4 good erections during the last month. Maybe 90% of what they used to be, but they don't last very long. Maybe the issue really is only in my head?
Are there any steps to follow on how to overcome this now?
Also, how important is the prostate for a good erection? I've read that many men who got their prostate removed can still get an erection. Is this true?
The prostate, generally, is really important in the erection process. Most men can't get erections without one, though there are things that can help.
This could be psychological. The only way to know that is to stop worrying about it - which is clearly easier said than done, right?
You could not try for a week or so, just take the time away from it entirely, and then see what happens.
You could try therapy, if you think it's to that point, or if anxiety in general is a thing for you.
Are you a "go with the flow" kinda guy? Just see what happens? Can you just give it time? You can also do that. :)
This could be psychological. The only way to know that is to stop worrying about it - which is clearly easier said than done, right?
You could not try for a week or so, just take the time away from it entirely, and then see what happens.
You could try therapy, if you think it's to that point, or if anxiety in general is a thing for you.
Are you a "go with the flow" kinda guy? Just see what happens? Can you just give it time? You can also do that. :)
I hope it's psychological. I'll try to not worry about it for a week and to reset my mind.
What confuses me is, after I stopped using the massager several months ago, I still had good erections during sex.
But then, the "accident" where I thought that a fracture occured happened, and since then the erection is just bad.
And the urologist hasn't found any fractures in the penis.
Maybe I'm just worrying too much, idk.
What confuses me is, after I stopped using the massager several months ago, I still had good erections during sex.
But then, the "accident" where I thought that a fracture occured happened, and since then the erection is just bad.
And the urologist hasn't found any fractures in the penis.
Maybe I'm just worrying too much, idk.
If you try not to worry about it but still have issues. Do talk to your doctor.
I checked my blood work and got the results today. AST and ALT levels are very high, iron levels are low. I'm doing an ultrasound of my liver tomorrow, maybe it's damaged.
I don't drink alcohol, but maybe a fitness supplement I've been taking wasn't well accepted by my body and has caused some damage. Well, at least I know now that there could be another cause of this issue.
I don't drink alcohol, but maybe a fitness supplement I've been taking wasn't well accepted by my body and has caused some damage. Well, at least I know now that there could be another cause of this issue.
Oh well, good luck with the ultrasound. I'm glad you had those tests done. Let us know what happens. :)
The ultrasound showed that everything is alright with my liver. The reason my blood results weren't good is because I had an ear infection. That's the first reason I did the blood test.
Now that the infection is gone, my blood results are also perfect. But, the ED issue is still there.
Now that the infection is gone, my blood results are also perfect. But, the ED issue is still there.
Ruling out the issues means you'll likely recover from ED and you have to watch to see if it switched to a head game. If you become anxious about erection, it's sure harder to have one. But you are now in a place to focus on ED with your doctor.
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