Why Young Men Struggle with Erections (it’s not what you think!)

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* recent studies have found that up to 87% of young men with ED also have an organic component to their condition





Erectile issues aren't just a problem for older men—they're becoming increasingly common among young men too. But what’s causing it? The answers may surprise you! In this video, Dr. Rena Malik explores the hidden reasons behind erectile struggles in younger men, from lifestyle factors like stress and poor sleep to the impact of technology and mental health. Learn how to identify the root cause and take steps to improve your performance and confidence. Watch now for practical advice and insights to reclaim your sexual health!

Chapters:


00:00 Introduction
01:08 Categories of Causes of ED
01:19 Psychogenic ED
02:12 Organic ED
02:36 Different Causes
03:33 Why are young men having these issues?
05:32 Peyronie's Disease
05:49 Endocrinological
07:13 Iatrogenic
08:53 Takeaway

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Understanding Erectile Dysfunction in Younger Men​

By Dr. Reena Malik, Urologist and Pelvic Surgeon


Erectile dysfunction (ED) in younger men is becoming increasingly common, with recent studies estimating its prevalence to be as high as 30% among men under 40. This means nearly one in three young men may experience some level of ED. Encouragingly, more young men are seeking treatment for ED—a critical first step toward addressing the issue.

Rising Incidence and Awareness

A study from 2010 to 2015 highlighted a significant increase in younger men seeking medical help for ED, rising from 5% to 15% in a specific clinic. While seeking help may seem daunting, addressing the problem early can lead to better outcomes.


Causes of Erectile Dysfunction

ED can generally be categorized into two types: psychogenic (psychological factors) and organic (physical or physiological factors).

1. Psychogenic Erectile Dysfunction

  • Onset and Symptoms: Sudden onset, often accompanied by stress or anxiety about performance. Despite this, spontaneous erections (e.g., during sleep or self-stimulation) are typically unaffected.
  • Underlying Factors: Depression, anxiety, and relationship issues.
  • The Cycle of Stress: Experiencing ED even once can create a psychological loop of worry and stress, exacerbating the problem.

2. Organic Erectile Dysfunction

  • Onset and Symptoms: Gradual development, often accompanied by avoidance of sexual activity due to embarrassment or fear of failure.
  • Key Causes:
    • Vasculogenic: Issues with blood flow, often linked to conditions like high blood pressure, cholesterol, or diabetes.
    • Hormonal: Low testosterone, thyroid disorders, or other hormonal imbalances.
    • Neurogenic: Nerve-related issues such as multiple sclerosis or epilepsy.
    • Structural Abnormalities: Conditions like Peyronie’s disease, which involves plaque formation leading to penile curvature.
    • Iatrogenic Causes: Medication side effects, particularly from antidepressants or regular use of NSAIDs like ibuprofen.

Young Men and Hidden Health Risks

Subclinical Markers and Vascular Health

Young men with ED may appear outwardly healthy but have underlying vascular or inflammatory problems. Subclinical markers, such as high-normal cholesterol or blood pressure, could indicate early-stage cardiovascular risks.

A study of 26 young men with ED found markers like:

  • Elevated systolic blood pressure and cholesterol.
  • Signs of vascular dysfunction, such as reduced arterial flexibility.
  • Higher Framingham risk scores, which predict future cardiovascular disease.

Conditions Like Peyronie’s Disease

Approximately 8.2% of men with Peyronie’s disease are under 40, with 21% of them experiencing ED due to the condition.

Medications and ED

Certain medications, especially antidepressants, are dose-dependent contributors to ED. Adjusting dosage or switching medications may help alleviate symptoms.
Interestingly, regular NSAID use has also been linked to a 38% higher likelihood of ED, possibly due to its impact on prostaglandins, which play a role in erections.


ED as a Warning Sign for Heart Disease

ED can act as an early indicator of cardiovascular problems. A study found that young men (ages 18–40) with weak erections were at higher risk for heart disease. Addressing ED may not only improve quality of life but also prevent future health complications.


Treatment Approaches

Effective treatment often involves addressing both underlying risk factors and psychological components. Multimodal approaches—combining medical evaluation, lifestyle changes, and psychological support—can significantly improve outcomes.

Key Takeaways:

  • ED in young men is not solely psychological; it often involves organic factors.
  • Seeking medical evaluation and treatment is essential to uncover hidden health risks.
  • ED treatment can improve overall well-being and potentially prevent serious conditions like heart disease.

Stay Informed with Dr. Reena Malik

Dr. Malik offers weekly newsletters featuring:

  • Unique study insights.
  • Personal updates and podcast highlights.
  • Subscriber Q&A sessions.
Join the community via the link in the description for expert tips and personalized advice.

Remember: Your health is worth prioritizing. Take care of yourself—you deserve it!
 
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