勃起功能障碍(ED)is a condition that makes it difficult to get and keep an erection firm enough for sex. While it’s more common in older men, it also affects a sizable percentage ofyounger men.
ED in younger men may be caused by or related to an underlying physical or psychological condition. Being proactive about getting a diagnosis and starting treatment, if necessary, is a wise move at any age.
In this article, we’ll explore why ED can happen in your 30s and what you can do about it.
It’s possible to experience mild, occasional, or complete erectile dysfunction at any age. While a lot of research has been done on the topic, estimates of how many men experience ED vary.
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While dated, the
The variation among studies may be due to a number of factors, such as differences among the screening tools and questionnaires used by researchers. What research does agree on, however, is that ED risk tends to increase with age.
One of the main reasonsED risk increases with ageis because erectile function depends on bodily systems that tend to change with age.
For example, anenlarged prostateis common among older men and is occasionally a contributor to ED and ejaculation problems. As the prostate gets bigger, it can squeeze the urethra, the tube that carries urine and semen.
Advancing age is also associated with lower levels oftestosterone, an important hormone in male sexual function, andpoorer circulation, which can affect sexual function and most aspects of physical health.
Among younger men, the causes of ED are often related to lifestyle and general health. Some of these factors include:
- Obesity.Obesityincreases the risk of conditions such asheart disease,type 2 diabetes,atherosclerosis, andhigh cholesterol. Each of these conditions can cause ED.
- Smoking.Smokingcan damage blood vessels, making it difficult to get an erection.
- Heavy alcohol use.Alcoholcan
reduce blood flow to the penis, causing ED. - Sedentary lifestyle.A
2012 study found that among men under 40, those who were sedentary were more likely to experience ED than those who were active.
Other physical causes can includehigh blood pressureand hormonal disorders such aslow testosterone.
ED can also be caused by心理or emotional issues, such as:
- anxiety
- depression
- stress
- relationship problems
These issues can affect your hormones and nervous system, which play very important roles in achieving and maintaining an erection.
Performance anxietycan also contribute to ED, especially if you’ve experienced ED previously and are worried about it happening again.
Regardless of the cause, ED is often treatable with the help of a doctor and some healthy lifestyle changes.
If you experience ED occasionally or frequently,let your doctor know. The conversation may cover some very personal territory, including:
- your sexual history
- your recent sexual activity
- any relationship problems you may be having
- questions about your physical and mental health
You may be advised to consult aurologist, who specializes in male and female urinary tract health and male reproductive health.
Your doctor will likely ask you to describe your symptoms and do a physical exam. Then, they’ll review your treatment options.
Prescription medications
First-line treatments for ED includeoral medications, such assildenafil(Viagra) andtadalafil(Cialis). In the United States, these medications are available only by prescription and may not be covered by insurance.
If available, taking a generic form of an ED medication may help bring down the cost.
Oral medications work by encouraging blood flow to the penis in response to sexual stimulation. They may causeside effects. Your doctor may treat you for an underlying health condition and suggest lifestyle changes before prescribing oral medications.
Supplements
If you don’t want to take a prescription medication, you may want to try anover-the-counter (OTC) treatment. Several herbal supplements, such asL-arginineandyohimbe, may be helpful, though they aren’t approved by the FDA.
If you decide to go this route, be sure to talk to your doctor first. They can help you figure out whether there’s an underlying condition causing ED, and if OTC treatments are safe for you.
Lifestyle changes
Lifestyle changesmay also improve sexual function, especially if you’re younger. For example, your doctor may suggest the following:
- Exercise daily.
- Quit smoking.
- Maintain ahealthy weight.
- Eat ahealthy diet.
- Limitalcohol consumption.
- Getadequate sleep.
- Destress with the help of activities likemeditationoryoga.
Other treatment options
In some cases, your doctor may suggest different types of treatment. These can include:
- injection therapy
- testosterone replacement therapy
- penis pumpsto trigger erections
- 阴茎植入物that can be used to control the timing of your erection
ED can be a difficult and emotional topic to discuss with a partner. Being calm and matter-of-fact about it may help you both deal with it in a proactive and positive way. As with any relationship challenge, one key to getting through it ishealthy communication.
Be open and honest about how you’re feeling, and invite your partner to do the same. Leave space for your partner to ask any questions, and don’t be afraid to share what you’ve learned about ED. This can help alleviate any concerns or misconceptions about the cause of ED.
Erectile dysfunction can be disruptive, especially when it occurs in young men. And because ED has so many potential causes, it can sometimes take a little detective work to find its origin and develop an effective treatment plan.
Be patient and ask for patience from your partner. Remember that ED is a common condition, and it’s usually treatable. Talk with your doctor to figure out the best treatment plan for you.