Erectile dysfunction in young men–or often referred to as impotence–is a disorder commonly seen in young men as early as their 20′s and is also referred to as ‘ED’. Most men dread the condition, infrequently talk about it and seldom consult a doctor. Erectile dysfunction is also referred to as male impotency. It is a condition where the man is not able to attain an erection to have intercourse or is unable to sustain an erection till the time he finishes coition. In the relaxed condition the penis is a soft flaccid organ and contains sponge like bodies within it. When a man is aroused blood rushes into the penis and it becomes taut and erect which enables successful penetration into the vagina.
Due to the complexity of this issue and the lengthiness of this page, we have broken the page down into a table of contents which hopefully makes it easier to read and jump to the parts that interest you most.
Table of Contents
- 2. Causes of Impotence in Young Males
- 2.1 Stress Related
- 2.2 Physical Causes of ED
- 2.3 Sitting For Prolonged Periods of Time
- 2.4 Psychological Causes of Erectile Dysfunction in Young Males Under 45
- 2.5 Medications, Alcohol, and Nicotine
- 3. Treatment Options
- 3.1 Seeing a Doctor
- 3.2 Psychological Treatment
- 3.3 Diet, Exercise and Lifestyle Changes
- 3.4 Prescription Medication Options
- 3.5 Injectables, Penile Implants, and Penis Pumps
1. Impotence Symptoms
If you suffer from inability to attain a satisfactory erection to complete the act of sexual coition you may be suffering from ED. However, it is important to remember that if you suffer from few such episodes you might not necessarily be suffering from ED, as these episodes may be caused due to stress or ill health etc. Suffering from such episodes on a regular basis increases the likelihood that you may be suffering from Erectile Dysfunction. You may have trouble in attaining an erection or difficulty in sustaining an erection or may complain of reduced sexual desire. This inadvertently leads to a low sexual drive, and often times can cause perfectly good relationships to fall apart…primarily because a woman will begin to think the underlying root cause of the impotence is because of her. 7 out of 10 women end up leaving their partner because of this reason.
2. Causes of Impotence in Young Males
Sexual arousal can be aided either by visual stimulation, sexual thoughts, or physical touch or feelings. Following sexual stimulation, signals are sent to your brain and from the brain impulses travel through the nerves to the penis. The nerves in the penis send a signal to the penile blood vessels to dilate and engorge with blood. This causes the soft spongy tissue to grow in size and become taut. This in turn causes an erection. Male hormones, emotions, brain, nerves and muscles of the penis are all involved in the complex process of penile erection. Thus disorders in any of these can cause ED.
2.1 Stress Related
Young men working under high levels of stress, leading sedentary lifestyles, are more prone to suffer from Erectile Dysfunction. Lack of physical activity, obesity, stressful lifestyles all play an important role in causing or worsening the incidence of ED and this explains why erectile dysfunction is affecting younger males increasingly. Nowadays many young men suffer from erectile dysfunction and fail to attain a sufficient erection or fail to maintain it for a desired period of time. This makes them unable achieve vaginal penetration and leads to decreased or lost sexual performance. There are several causes for erectile dysfunction in young men. And any problem in brain, nerves, general health, to local penile problems can be a cause of sexual impotence. Hence it becomes extremely important for the doctor to find out the exact cause of ED. In many cases ED is just a subtle symptom or an early reminder of some serious underlying health problem.
2.2 Physical Causes of ED
An increasingly number of young men nowadays are suffering from early stages of atherosclerosis, diabetes which may be juvenile or type 2 diabetes, high blood pressure, obesity, dyslipidaemias- abnormal blood lipid levels, metabolic syndrome – it is a disease complex comprising of obesity, high blood pressure, high cholesterol levels and high levels of insulin and insulin resistance. Excessive use of alcohol, tobacco, and smoking are causes of Erectile dysfunction in the young. Certain medications may be responsible for ED. Peyronie’s disease – is a condition in which the spongy tissues of the penis develop scar tissue due to various causes leading to a deformity in the shape of the penis. Other causes of ED are hypogonadism, low testosterone levels, drug abuse, injuries to the spinal cord or pelvic region, multiple sclerosis.
The organic causes known to cause erectile dysfunction in young men are cardiovascular disorders, diabetes either juvenile or type 2, side effects of certain drugs, and inadequate hormones like in hypogonadism, neurological problems or severe trauma.
2.3 Sitting For Prolonged Periods of Time
If you are used to long hours of bicycling, you might be at an added risk of ED. Cycling for a long time can compress the arteries and nerves supplying the penis and cause damage. However after discontinuing cycling you may be able to tide over ED provided the damage done is temporary. Additionally, if you work in an office setting and are restricted to sitting in a chair at a desk all day, this can prove to be detrimental to your health in a myriad of ways. As noted above, prolonged periods of sitting can lead to compression of the arteries and nerves below the waist. Ensure that you get out of that desk every hour and stretch…get your blood circulating.
2.4 Psychological Causes of Erectile Dysfunction in Young Males Under 45
Another important cause of erectile dysfunction in young men is Psychological impotence. It means that some are unable to achieve or maintain an adequate erection due to psychological reasons. This means that they may not necessarily be having physical problems leading to impotence.
Such people may be suffering from a low self esteem which makes them very conscious about their own bodies, which in turn leads to doubts about whether or not they may be able to perform sexually. Some young men having Erectile dysfunction may be suffering from anxiety neurosis or depressive episodes which also alter their ability to perform sexually. Feeling of guilt or remorse regarding some disagreeable memory also may be a reason why many men are not able to attain or maintain an erection. Most men put themselves into a guilt trip and are unable to get out of their constant tormenting thoughts.
Young people suffering from psychological disorders like depression, anxiety neurosis are more prone to suffer from erectile dysfunction.In some cases it has been observed that if a man is unable to satisfy his partner or has problems in the initial few instances of intercourse, it greatly affects his self confidence and he makes a self formed impression about himself that all future attempts of a normal sexual intercourse will be futile. This mindset affects him psychologically and he indeed may not be able to perform satisfactorily in the future.
Impotence is commonly seen in men above the age of 75 years, however in recent years it seems to be affecting young men as well. However it is not necessary that as you grow old you are bound to suffer from ED. Older men may take more time to achieve an erection and might require considerable amounts of penile stroking or touching. But they too can successfully achieve and sustain an erection and thus maintain a healthy sexual life.
2.5 Medications, Alcohol, and Nicotine
Medications used to treat depression – antidepressant medications, antihistamines used for treating allergic conditions and those used to treat hypertension can be an important cause of Impotence in younger males as well as older men. High blood lipid levels lead to deposition of cholesterol plaques in the blood vessels of various organs. Deposition of cholesterol plaques in the penile arteries can cause a decrease in the lumen of the blood vessel, which decreases the blood supply and hampers the engorgement of the penis. Over use of tobacco in the form of smoking or tobacco chewing is known to narrow the blood vessels and decrease the amount of blood flow to various organs. Short-term alcohol usage can interfere with an erection while under the influence. Long-term alcohol usage has a significant negative impact on successful erections.
3. Treatment Options
The most important treatment is treatment of the underlying cause of your Erectile dysfunction. Once the cause is treated then you might be able to achieve a normal erection without any other specific treatment for ED. If you are suffering from Diabetes and high blood pressure, take regular treatment for the same and keep it under control. Most young men shy away from visiting their doctor and prefer self medication. This is not advisable, as you might be suffering from some other serious disorder which may have presented as ED. Hence it is important that you do not neglect this condition and instead get some help before it is too late.
3.1 Seeing a Doctor
Your doctor will ask you a detailed medical history about your complaints, other relevant medical history etc and then do a physical examination. If he suspects any other chronic health problem then you may need to undergo further tests. You may require undergoing certain blood tests to check for your blood sugars, blood lipid levels, and hormonal levels. There is something called as an overnight erection test which means most men have erections during their sleep without realizing. This test helps rule out any physical or organic problem for Erectile Dysfunction and proves a psychological than physical element. You may also require doing an Ultrasound of your penis to check the blood flow.
3.2 Psychological Treatment
If you are having a tumultuous relationship with your partner, seek to sort it out first. You cannot expect to have healthy sexual life if you are not happy with your partner. You and your partner may even visit a psychological counselor and work together to smooth things out. In case you lead a very stressful lifestyle, relax!! Stress is an important factor that may lead to Impotence among younger males. Try to take a break or go out on a romantic holiday with your partner. This will help you relax and definitely help you change things for the better as far as your sexual life is concerned. Discuss sexual issues openly with your partner. It is necessary that you have a healthy communication with your partner and you both are comfortable with each other. If you are suffering from depressive episodes or anxiety neurosis, you must see a psychologist. You must keep yourself mentally healthy in order that you have a healthy sexual life.
3.3 Diet, Exercise and Lifestyle Changes
You will have to make changes in your diet and lifestyle. Firstly you must exercise regularly and aim at losing excess weight. Maintain a healthy lifestyle and eat healthy meals at regular intervals. Include plenty of fresh fruits and vegetables in your diet, these provide your body with a lot of antioxidants. If you consume tobacco in any form, stop immediately. Tobacco is known to have a vaso-constrictive effect on blood vessels which directly affects the amount of blood flowing through your penis. Also avoid consuming excess alcohol. Changes in diet and regimen itself help to treat erectile dysfunction in young men in most cases. You may practice pelvic floor exercises which helps you strengthen your muscles and helps the relieve ED.
3.4 Prescription Medication Options
There are certain oral medications that your doctor might prescribe for you. Medications like Sildenafil, Tadalafil, Vardenafil are drugs which increase the amount of blood flow into the penis. This makes it easier for one to get an erection following sexual stimulation. They have certain side effects and your doctor will be able to judge best whether or not these medications are suitable to you or not. You may not be advised to take these medications if you are suffering from heart disease or heart failure, if you have had a stroke, you are taking medications for high blood pressure, treatment for angina like Nitroglycerin, isosorbide mononitrate or isosorbide dinitrate, or if you are taking anticoagulant medications or are suffering from uncontrolled diabetes or hypertension or hypotension. It’s recommended to stay away from prescription medications as much as possible, unless your doctor says otherwise. In severe cases, medication such as this should be the last resort. These medications only cover up the underlying cause temporarily. Finding a natural solution that fixes the underlying cause is the best route to take. In addition, if you have low levels of Testosterone you may be put on testosterone replacement therapy.
3.5 Injectables, Penile Implants, and Penis Pumps
You may be advised injectables in case you cannot tolerate oral medications. Alprostadil is useful when injected into the base or the side of your penis. It will enable you to have an erection in five to twenty minutes and the erection could last for almost an hour.
Alprostadil can also be given as a suppository which is to be inserted into your penis. You are provided with a device which will help you insert the suppository almost 2 inches into your urethra. However you may develop side effects following this method like fibrosis or bleeding into the urethra. It is an effective method but not completely safe and free of side effects.
If your doctor does not think oral medications or the injectables are safe for you, there are other methods which you can use. Penile implants are available nowadays which may be surgically placed into the two sides of your penis. These implants are made from silicone or polyurethane and are inflatable, thus allowing you to have an erection whenever desired and you can also control the duration of your erection. Inflation and deflation of the implants are within your control through a device.
Penis pumps are vacuum constriction devices. It consists of a tube which you can place over your penis. The tube helps to create a vacuum and helps pull blood into your penis. When the blood flow into your penile blood vessels increases, the spongy tissues within your penis get engorged. This helps you have an erection, after which you can remove the device. The erection will last for almost 30 minutes.
However, it is highly likely that you are suffering from psychological impotence if you’re under 45 years of age.
In this case, the problem can easily be fixed using all natural methods. Click on the link underneath to quickly take care of those “embarrassing moments”. It doesn’t involve pills, pumps, or any of that other nonsense.