Thanks for your submission! The issues you describe are not at all uncommon. In fact, erectile dysfunction (ED) – being unable to develop or sustain an erection during sex – is estimated by the Cleveland Clinic to affect 1 in 10 adults with penises. Let’s explore a little further what erectile dysfunction may look like –
- No amount of ED is “normal”, but sometimes it can be caused by factors such as drinking too much alcohol, stress, relationship problems, extreme fatigue, or more. If this is happening only occasionally – less than 20% of the time – it is likely that you will not require treatment.
- If you are struggling to achieve or maintain an erection more than 50% of the time, generally you will require treatment and should discuss this with your primary care provider.
- Physical causes may include cardiovascular disorders (such as blood pressure issues, stroke, high cholesterol), diabetes, sleep disorders, or kidney disease. There are also some medications that may cause ED, including antidepressants, antihistamines, muscle relaxants, blood pressure medication. Never stop taking your medication or change your dosage without talking with your provider first.
- Psychological causes may include anxiety, stress, depression, or past sexual trauma.
- Behavioral causes may include alcohol or drug use, smoking, lack of physical activity, or lack of sleep.
- Lifestyle changes, such as quitting smoking, limiting alcohol intake, exercising regularly, improving sleep habits, and avoiding drug use.
- Seeking help for any mental health concerns you may have (stress, anxiety, depressions, etc.). You can make an appointment at UCC by calling (585) 275-3113.
- Trying an ED medication prescribed by a provider.
- Use lube! A water-based or silicone-based lube is great for making sex more comfortable and enjoyable for all involved. Be sure not to use an oil-based lube with a condom, as it can breakdown the latex and make the condom ineffective.
- Take things slow. Engage in activities to increase your arousal before you try to engage in sex, and communicate any discomfort to your partner! They may be able to change things up to make you more comfortable, or you could work together to do so.