What's the matter with no hardness?

Insufficient erection hardness may be caused by psychological stress, vascular dysfunction, abnormal hormone levels, chronic diseases or drug side effects, and can be improved through lifestyle adjustments, psychological counseling, drug treatment or surgical intervention.

1. Psychological factors:

Psychological problems such as anxiety, depression, or relationship tension can inhibit the conduction of sexual arousal. Long-term work stress or sexual performance anxiety may lead to overactive sympathetic nerves, affecting the congestion of the corpus cavernosum of the penis. Cognitive behavioral therapy and psychological counseling with partners can effectively relieve symptoms.

2. Vascular disease:

Atherosclerosis or hypertension can reduce penile blood perfusion, and microvascular disease caused by diabetes may impair endothelial function. Such patients are often accompanied by reduced morning erections and require basic treatments such as controlling blood sugar and blood pressure and improving blood circulation in conjunction with PDE5 inhibitor drugs.

3. Hormone imbalance:

Decreased testosterone levels directly affect sexual desire and erection quality, and thyroid dysfunction or hyperprolactinemia can also interfere with sex hormone secretion. Laboratory tests can show that serum testosterone is less than 300ng/dl, and hormone replacement therapy needs to be carried out under the supervision of a doctor.

4. Impact of chronic diseases:

Metabolic diseases such as diabetes and kidney disease can accelerate damage to blood vessels and nerves, and neurogenic erectile dysfunction may occur after prostate surgery. Such patients require simultaneous control of the primary disease and rehabilitation of sexual function. In severe cases, penile prosthesis implantation should be considered.

5. Drug side effects:

More than 200 drugs, including antidepressants and antihypertensive drugs, may cause erectile dysfunction, which usually occurs 4-6 weeks after taking the drug. Consulting a doctor to adjust the medication regimen or switch to drugs that have less impact on sexual function can improve symptoms.

It is recommended to maintain aerobic exercise three times a week to improve blood vessel elasticity, and add deep-sea fish, nuts and other arginine-rich foods to the diet. Avoid staying up late and drinking excessive amounts of alcohol, and smokers should quit smoking as soon as possible. Partners should provide full understanding and support and jointly create a relaxing and intimate environment. When symptoms persist for more than 3 months or are accompanied by other physical abnormalities, you need to go to the men's department or urology department for professional evaluation.