I am 30 years old male. I had sexual intercourse once, 4 years back. Since then I have been masturbating a lot. Now I feel I have erection issues. I don't get erection just by watching porn, or few days back I was with a girl for 2 days trying to have intercourse but I did not get erection. I also went for kinda erotic massage but I did not get erection, although here there was no action from the girl side. On the other hand whenever I try to masturbate, I get full erection. Also in the morning when I wake up, most of the times, I already have an erection. I feel I get conscious in such situations around the girl. I don't know if this is physiological or psychological.

Dr. Sajeev KumarGeneral Physician32yrs exp

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This is psychological and anxiety related. With whom did you have sex? You being conscious of the firl shows that you are anxious Is she a girl friend or your wife? Erectile dysfunction (ED) is a condition in which man has trouble in keeping or getting an erection. It is a common male sexual dysfunction. It becomes more common as you get older but it is not a part of aging. MECHANISM OF ERECTION An erection starts in the brain. Physical and mental stimulation is required for an erection to begin. This stimulation causes nerves in the brain to send chemical messages to nerves which are present in the penis which results in the free flow of blood into the penis. This leads to high pressure in the penis which in turn traps the blood within both corpora cavernosa and then the penis expand. This causes the penis to sustain an erection. When the inflow of blood is stopped, then it opens outflow channels and then penis becomes soft. Then an erection is said to be reversed. CAUSES OF ERECTILE DYSFUNCTION Erection is a complex process which involves hormones, brain, emotions, muscles, nerves and blood vessels. Problem with any one of these can lead to erectile dysfunction. Sometimes stress and mental health can also lead to erectile dysfunction. Combination of Physical and Psychological issues can lead to erectile dysfunction. Some medicines like antidepressants can also cause this and if you are taking any medication you have to discuss with your treating doctor to change or stop medicine if possible PHYSICAL CAUSES OF ED ?Heart disease, high blood pressure, High cholesterol. ?Parkinson's disease, obesity, alcoholism, atherosclerosis. ?Use of tobacco, surgeries that affect the pelvic area or spinal cord. ?Treatments for prostate cancer. PSYCHOLOGICAL ISSUES OF ED: Depression, anxiety, stress and other mental health conditions are some of the psychological issues which causes erectile dysfunction. SYMPTOMS OF ERECTILE DYSFUNCTION ?Trouble in getting erection ?Difficulty in keeping erection ?Reduced sexual desire To Prevent ERECTILE DYSFUNCTION By decreasing the chances of developing several diseases like diabetes, heart disease and hypertension, chances of developing erectile dysfunction can be decreased to some extent. By eating healthy diet, erectile dysfunction can be managed. By doing Exercise daily and by avoiding smoking, risk for developing erectile dysfunction can be decreased. If you do not have any diseases it is only your mind that is preventing your erection. So you need to be calm and stop worrying about it and keep on doing normally. 

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