A general diagnosis of erection problems
1. Do you have any of the following problems with sex?
- A low libido in general
- A low libido towards my partner
- Don’t get excited
- Do not maintain an erection that is sufficient for sexual intercourse
- Experienced no erection at all
- Don’t get orgasm even though I feel excited
- Cum too fast
- No intensity experienced at the orgasm
- Experienced an orgasm but did not ejaculate
- Experiencing pain during sex
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2. When was the last time you had an erection or ejaculation in a normal way?
This helps to determine how long you have a problem with erectile dysfunction and that indicates the cause: a short time means that there may be a psychological problem behind the erection problems. Erectile dysfunction that lasts longer and has developed slowly but gradually can have a physical cause, such as poor blood flow.
3. Do you get an erection when masturbating and is it sufficient?
If you are able to get a full erection when you masturbate, or your partner applies this action, it means that you have a normal blood supply and a normal working nervous system in your penis. If you can’t get an erection before sexual intercourse, then you probably have an emotional problem that prevents you from getting an erection.
4. Do you have a good erection in the morning and during the night?
Nocturnal erections (or nocturnal swelling of the penis) is a sign of a healthy penis and means that the problem is not physical. A healthy penis will stand upright between three and five times each night. You may not be aware of this (although your partner can); the presence of a more obvious erection is in the morning when you wake up, which probably means that your erectile dysfunction has a psychological cause.
5. Do you get an erection from watching pornographic material?
An erection caused by erotic stimulation is a sign that the function of the nervous system and blood flow to the penis are normal. That again suggests a psychological cause of your erectile dysfunction.
6. Do you sometimes get an erection at other times?
If you experience an erection one moment and not the other, it is a sign that your erectile dysfunction is of a psychological nature. If there is a physical cause then you probably never get an erection.
7. Do the problems occur exclusively with a specific partner?
It is clear that if you notice that you only have erectile dysfunction in one partner and not in others, this is a clear indication that it is unlikely that it is a physically based problem of impotence. It also suggests that psychosexual therapy or therapy might be useful.
8. Is your partner aware that you are receiving assistance?
It is clear that a man who is impotent but has told his partner what he is doing about it, has good communication with her and that this means that treatment is rather a success.
9. Does your partner support you in the process of treatment?
In essence, it is more likely that a man who has support from his partner can restore his potential and quickly develop an erectile dysfunction. Men whose partners do not provide support are often angry and resentful and this delays or prevents the recovery of potency.
10. Is your partner still attractive in your eyes?
You can imagine that if you don’t find your partner sexually attractive, you might not have a sexual desire and you might not get excited. This is what we might call situational impotence or erectile dysfunction.
11. Have erectile dysfunction caused one of these problems?
- Moderate atmosphere in the house
- Less communication and conversations
- Discussions about sex
- More discussions and disagreements
- Isolation and isolation
- Less trust between partners
- Spend less time together
Erectile dysfunction can affect a couple’s relationship in many ways: quarrel, depression, avoidance, discouragement, distrust, frustration are just some of the ways in which this can manifest.
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12. Do you take initiative in sexual contact or your partner?
If you or your partner starts having sex unevenly, it may mean that you have very different interests in sex or in the relationship. It would certainly be more equal for both partners to start sex when they wanted to be satisfied or to satisfy their partner.
13. Do you enjoy having your partner cum each time during sexual intercourse?
Many men with erectile dysfunction are often angry about the dedication they need, especially if they feel that they should give their partner an “orgasm” every time they have sex. Another unrealistic expectation is that all sex sessions must end in sexual intercourse and penetration. Such prejudices can cause anger, resentment and ultimately erectile dysfunction.
Questions regarding the medical past
14. Have you ever had any of these medical conditions?
- High bloodpressure
- Heart disease
- Heart attack
- Thyroid disease
- Testicular problem
- Multiple sclerosis
- Parkinson’s disease
- Neurological disorders
- Kidney disease
Diseases such as these can cause erectile dysfunction and if you have or have ever had any of these, make sure your doctor or therapist is aware of this. The same applies to the following operations:
15. Have you had any of the following surgical procedures?
- Removal of the prostate
- Removal of the bladder
- Rectal or colon surgery
- Cardiac bypass
- Operation on hernia
- Vascular surgery to the legs or large blood vessels
All of these conditions can cause impotence due to their effect on blood flow to the penis or possible nerve damage.
16. Do you take specific medication?
Medicines such as antidepressants, sedatives, stomach acid, hormones, blood pressure medicines and some cold medicines. These can play a role in erectile dysfunction.
17. Did the problems start shortly after taking a new medicine?
If your difficulty with erectile dysfunction starts after starting a new medication, it may be that this is causing your problem.
18. Has there ever been an erection that lasted for several hours?
Although it is unlikely that you have ever had an erection that lasted longer than four or six hours, there may have been damage to your erectile tissue, and unfortunately this is usually permanent.
19. Do you smoke, do you drink a lot of alcohol, do you use hard drugs or do you have poor cholesterol ratios?
All of these things – cigarette smoking, elevated cholesterol levels, excessive alcohol consumption or lack of exercise – can cause erectile dysfunction.
20. Are you afraid of dying during sex because you have ever had heart problems?
Fear after a heart attack may stop you from having sex and your partner may also be worried about this, she may be afraid of sex because she is afraid that you will have another heart attack or stroke. You may think she is simply not interested: communication is the key to understanding what is happening here.
These questions are intended to help you understand erectile dysfunction: above all, is it psychological or physical, or both? If you know the cause of your problem, you know better how to deal with it.