What does hardness not last for?

Lack of lasting hardness is mostly an early manifestation of erectile dysfunction, which may be related to psychological stress, vascular disease, hormone imbalance, nerve damage, drug side effects and other factors.

1. Psychological pressure:

Long-term anxiety, depression or partner tension can inhibit the conduction of sexual excitement, leading to insufficient congestion of the corpus cavernosum of the penis. Cognitive behavioral therapy and psychological counseling with partners can effectively alleviate symptoms. If necessary, short-term use of phosphodiesterase 5 inhibitors can be used.

2. Vascular disease:

Atherosclerosis or high blood pressure can reduce blood flow to the penis, often accompanied by diminished morning erections. Blood pressure and blood lipids need to be controlled. In severe cases, Doppler ultrasound examination of penile blood vessels is required. After diagnosis, vascular reconstruction surgery can be considered.

3. Hormone imbalance:

When the testosterone level is lower than 8nmol/L, it will affect the hardness of erection and is often accompanied by loss of sexual desire. Testosterone undecanoate supplementation can be used after endocrinology examination, and prostate-specific antigen levels need to be monitored.

4. Nerve damage:

Diabetic peripheral neuropathy or lumbar disc herniation can hinder erection signal conduction, often accompanied by perineal numbness. It is necessary to control the primary disease and improve symptoms with neurotrophic drugs such as methylcobalamin.

5. Drug side effects:

Antidepressants, antihypertensive drugs, etc. may interfere with the physiological process of erection. It is recommended to adjust the medication plan under the guidance of a doctor to avoid stopping the medication on your own. If necessary, you can replace it with a medication that has less impact on sexual function.

It is recommended to maintain aerobic exercise such as brisk walking or swimming three times a week, and increase arginine-rich foods such as deep-sea fish and nuts in the diet. Avoid excessive masturbation and staying up late, and try pelvic floor muscle training before sex. If symptoms persist for more than 3 months or are accompanied by painful bleeding, you need to go to the men's department for nighttime erection monitoring and penile blood flow testing. Middle-aged and elderly patients should be regularly screened for cardiovascular disease risk factors, and young patients should pay attention to distinguishing between psychological and organic causes.