Prostate Restored
Prostate Restored
Photo: Anna Tarazevich
Erectile dysfunction is common, and there are many things you can do to manage it. A variety of factors may be causing your ED. These include your lifestyle, alcohol intake, some medications, diseases, disorders, and psychological stress. Depending on the cause, several effective strategies and treatments exist.
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Read More »Have you considered clinical trials for Erectile dysfunction? We make it easy for you to participate in a clinical trial for Erectile dysfunction, and get access to the latest treatments not yet widely available - and be a part of finding a cure. Check your eligibility Why do I lose my erection during sex? Firstly, you need to know how an erection works. Erections involve your brain, blood vessels, nerves, and hormones. An erection typically starts with excitement in your brain or sexual arousal. This causes an increase in blood flow into the penis and a decrease in blood flow out of the penis. The change in blood flow increases the pressure and causes the penis to go rigid. You are losing your erection because you cannot maintain this pressure buildup, i.e., the blood flow. You may be losing your erection because something is going wrong during this process. Does losing an erection during sex mean you have erectile dysfunction? Potentially yes, but maybe not. Not being able to maintain an erection during sex is just one presentation of erectile dysfunction (ED). The issue might resolve if it has only happened a few times. If you have been losing an erection quite frequently during sex, there is a high chance you have ED. Another possible symptom of ED is the inability to produce an erection in the first place. If you sometimes experience the loss of erection or the inability to get one, you may have ED. In any case, if the loss of erection is concerning you or affecting your sex life, speak to your doctor. What are the causes of losing an erection during sex? Multiple things could be causing you to lose your erection during sex: Loss of stimulation If the excitement in your brain¹ stops, then the signals to increase blood flow to your penis might stop, causing the loss of an erection. Decreased blood flow to the penis Many factors can cause decreased blood flow to your penis, resulting in reduced blood pressure¹ in your penis and the loss of an erection. Decreased blood pressure in the penis The veins in your penis are responsible for blood flow out of the penis back to the heart. During an erection, these veins are compressed to restrict blood flow, allowing pressure to build in your penis. If this compression reduces, it will cause you to lose your erection. Other causes of erection problems Many things can cause erectile dysfunction. It has multiple risk factors, many of which can cause underlying blood vessel damage. Chronic diseases Chronic diseases, including cardiovascular disease, hypertension, and diabetes, increase your ED risk. These conditions affect the vascular or nervous physiology that your erections depend on. These include lifestyle factors such as high body weight, low physical activity levels, and excessive long-distance cycling. These conditions can all cause blood vessel damage. Medical disorders You have a higher chance of ED if you have multiple sclerosis, epilepsy, Parkinson’s disease, or Peyronie’s disease. Trauma to the groin area can also cause ED, potentially due to nerve damage. Alcohol There is a complex relationship between alcohol consumption and ED. Regular consumption of alcohol, including at least eight standard drinks² per week, with no more than two per day, can be beneficial if you have ED. This is thought to be secondary to lower inhibitions and increased sexual arousal that come with drinking. It’s also possibly due to the beneficial effects³ of long-term moderate alcohol intake on cardiovascular health. However, long-term excessive alcohol consumption of more than 30 standard drinks each week and binge drinking (consuming more than three standard drinks in one sitting) can cause ED to develop. Alcohol can damage your blood vessels. All in all, alcohol consumption in moderation seems to be associated with a lower risk of ED, most likely in a J-shaped dose-response curve.² Smoking If you are a smoker, you are at an increased risk of ED. Smoking causes damage to your blood vessels, which can impact blood flow. Psychological stressors Historically ED was thought to be psychological. However, psychogenic ED is now separate from organic ED, with a lower prevalence. Organic ED typically develops over time, with a constant, chronic inability to become erect. Psychogenic⁴ ED is more acute and situational. The psychological issues behind ED in this context can include: Performance anxiety
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