Y can i not get a hard on

Sometimes couple counselling, or sex therapy is useful. These are most useful if certain mental health psychological problems are the cause of, or the result of, ED.

In Northern Ireland, a specialist has to assume responsibility for prescribing it. Tadalafil, vardenafil and avanafil are only available to those patients who have one of the specified medical conditions listed below. Other men can receive a private prescription from their own GP. A specialist can also prescribe treatments using medication on the NHS if your condition causes severe distress in your life.

Examples would be relationship breakdown, social problems or effects on mood or behaviour. It is best to see your GP. They are likely to discuss the problem, go over any medication you may be taking and do a physical examination.

This can help to identify or rule out possible underlying causes. Before treatment your GP may suggest some tests. Depending on your symptoms, likely cause of the ED, age, etc, your doctor may suggest that you have some tests.

These are mainly to check up on any risk factors listed above which increase the risk of developing narrowing of the arteries. Tests may include:. If you have a low sex drive, or if you have had a previous head injury, ED may be due to a hormonal problem. In this situation a blood test to check the level of the hormone testosterone and sometimes prolactin may be advised. In a small number of cases, tests to check the way the blood circulates through the penis, using scans or drug injections, may be done in hospital clinics.

A practical guide on the assessment and management of testosterone deficiency in adult men ; British Society for Sexual Medicine Perelman MA ; Erectile dysfunction and depression: screening and treatment. Urol Clin North Am. I have been getting white spots on the bottom part of my glans which seems to be some dead skin. I was looking around to see if anyone has a similar condition and I can't find anything similar. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions.

Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. In this series. In this series: Testosterone Deficiency. In this series Testosterone Deficiency. In this article What causes erectile dysfunction?

What are the treatment options? Other treatments for erectile dysfunction Treatment for erectile dysfunction on the NHS What should I do if I develop persistent erectile dysfunction? What tests may be done? Among younger men, the causes of ED are often related to lifestyle and general health.

Some of these factors include:. Other physical causes can include high blood pressure and hormonal disorders such as low testosterone. ED can also be caused by psychological or emotional issues, such as:. These issues can affect your hormones and nervous system, which play very important roles in achieving and maintaining an erection.

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:. You may be advised to consult a urologist , 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. First-line treatments for ED include oral medications , such as sildenafil Viagra and tadalafil Cialis. In the United States, these medications are available only by prescription and may not be covered by insurance.

Oral medications work by encouraging blood flow to the penis in response to sexual stimulation. They may cause side effects. Your doctor may treat you for an underlying health condition and suggest lifestyle changes before prescribing oral medications. If you decide to go this route, be sure to talk to your doctor first.

Following sexual arousal, the blood vessels to the penis open up again, allowing the blood to leave. Erection problems are also known as:. The causes of ED can be physical, psychological , or a combination of the two. Physical causes of erection problems are more common in older men. They occur because of disorders that can affect the nerves and blood vessels responsible for causing an erection.

Men ages 20 to 30 years old may experience ED as well. The numbers suggest that ED in young men occurs more often than previously reported. In , The Journal of Sexual Medicine reported that 26 percent of men ages 17 to 40 years old experience trouble having an erection. These cases range from moderate to severe. Research says erection problems in young men have more to do with their lifestyle and mental health than with any physical problems.

Younger men were found to use more tobacco, alcohol, and drugs than older men. Some studies suggest that erection problems in young men most often stem from anxiety or depression. Tests that your doctor may order to determine the cause of your erection problems include a:. Severity of ED is often graded on a three-point scale: mild, moderate, and severe. Severe ED is also known as complete ED. The first step in treating your ED is identifying where you fall on this scale.

Solution : There's only one fix here, alas — sober up and if this partner now has to admit that The Wall is unbearable to listen to while sober, well, that's just the price they'll have to pay. Being chronically overtired or burnt out impacts everything, including your sex drive and your ability to become aroused.

People grappling with insomnia, or dealing with punishing work or school schedules that leave them barely any time to sleep, may not have the energy to get down and dirty. Solution : Frustratingly enough, the only solution to exhaustion-based impotence is to get some rest, which is obviously difficult or you wouldn't be having this problem in the first place. But if your partner has been resistant to getting help for insomnia or asking for different hours at work, the inability to get that nine iron out on the putting green might be the thing that finally motivates them to make a life change.

So, at least there's that. Just as certain meds can make it difficult to have an orgasm , some can keep the flagpole from even getting raised in the first place. Anti-depressants like Prozac and Zoloft, anti-anxiety pills like Valium, high blood pressure medicine like Diuril, and even over-the-counter cold medicines like Sudafed and anti-heartburn pills like Zantac can inhibit erections , according to the U.

National Library of Medicine. Solution : Obviously, no one should ever go off a prescribed med without consulting with a doctor. But there are erection-friendly alternatives to nearly every daisy-wilting medicine listed above. Embarrassment shouldn't keep penis-havers from talking to their GP about this: Doctors are well aware that erectile difficulties are a possible side effect for all of these medicines, they just don't know which patients will experience what side effects — so they're waiting for the patient to bring it up.

Not to give your already stressed-out bb one more thing to worry about, but stress is behind many erectile problems , from one-off boner blunders to a lingering inability to get and maintain an erection. Of course, sex difficulties are just the tip ahem of the stress-induced health problem iceberg — sustained stress can also lead to insomnia, stomach troubles , chest pains, anxiety, and more severe health issues in the long term.

Solution : Again, saying "stop being so stressed out" is easier said than done — but a lot of people find sexual dysfunction to be a stronger motivator to live a less-stressful lifestyle than the threat of, say, a heart attack down the road.

There's a chance that this could actually be a good thing in the long run for your boo, if it helps them take their stress seriously. Relaxation techniques like yoga, exercise, meditation, tai chi , and getting adequate sleep can all lessen the impact of stress on your body. Remember those cultural messages we discussed earlier, about how men are wild sex aliens?