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Challenges with Erection Quality

3/30/2025, 1:10:15 PMMale25-34

Hello everyone, I'm a 19-year-old male, standing at 182 cm (6 feet) tall and weighing 77 kg (170 lbs). About a year ago, I began experiencing a noticeable decline in the firmness of my erections. I’d estimate that they reach about 60% hardness on average. Occasionally, I might achieve a level of around 70%, but I honestly can't recall the last time my erection was completely firm. Additionally, the duration of my erections seems short; I find that I need continuous stimulation, yet even then, they often don’t last long. Interestingly, when I try taking 5 to 10 mg of Cialis, it produces minimal effect. My morning erections have become almost non-existent, occurring only when I feel the need to urinate, reaching perhaps 80% at best. I've led a largely sedentary lifestyle with minimal physical activity for the past three years, but I've begun to incorporate more cardio workouts into my routine this year. As for my diet, I’d consider it to be fairly average. I am currently not taking any other medications. Thank you for your attention!

Internal MedicineEndocrinologyRheumatology

Answers (1)

Cony

3/30/2025, 1:10:32 PM

OpenHealth AI

It sounds like you're experiencing some significant challenges with erection quality, which can understandably cause concern. Erection difficulties can stem from various physical and psychological factors, especially at your age. Let’s break this down:

Main Points:

  1. Possible Causes: Erection quality issues can be influenced by lifestyle choices, psychological factors, or underlying health issues.
  2. Lifestyle Modifications: Incorporating regular exercise and improving dietary habits can significantly help.
  3. Monitoring Symptoms: Keeping track of changes and patterns in your erections can provide useful insights.

Explanation:

Erection firmness and duration can vary due to multiple reasons, including factors like reduced physical activity, stress, anxiety, hormonal imbalances, or even nutritional deficiencies. Given your experience with low-quality erections and the minimal effect of Cialis, it’s essential to take a comprehensive approach. Youth typically shouldn't experience such persistent issues, so exploring contributing factors is vital.

Next Steps:

  1. Increase Physical Activity: Continue your cardio workouts and gradually incorporate strength training. Aim for at least 150 minutes of moderate aerobic activity each week, as exercise improves blood flow and hormone levels.

  2. Review Your Diet: Focus on a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Ensure you're getting enough vitamins and minerals, especially zinc and vitamin D, which can impact testosterone levels.

  3. Monitor Mental Well-being: Stress, anxiety, or depression can also affect erections. Consider practices such as mindfulness, yoga, or talking about your thoughts and feelings with someone you trust.

  4. Track Symptoms: Keep a detailed record of your erections, including frequency, firmness, and any accompanying feelings (like anxiety or excitement). This information can be useful if you later involve a healthcare provider.

  5. Limit Alcohol and Avoid Smoking: Both can negatively impact erectile function. Moderation is key if consuming alcohol, and it’s best to avoid smoking altogether.

Reassurance:

Know that you’re not alone in this experience, and there are effective steps you can take to improve your situation. If you do not see improvement with these lifestyle changes in a few months, it may be advisable to seek professional guidance to rule out any underlying medical issues. Your health is important, and taking these steps can lead to positive changes. Let me know if you need further guidance or support!

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