Ive been having problems maintaining or even getting erection last 6 months. Im 26 year old male, and Ive always had very high libido and still have.

It started about 6 months ago with my girlfriend and Ive never had this kind of problems before, maybe premature ejaculations once in a while but thats different thing.

Ive been taking some herbal products which Ive mostly quit now since Im kinda worried those are doing some not so good things for my sexual problems. Ive took some normal multivitamin product + l-tyrosine + l-tryptophan + d-vitamin + zinc. I smoke about 10-20 cigs/day, drink 1-4 times/month (and really get drunk those times), Im not in very good shape since I don’t workout and I work at home with computer, but I’m not overweight or anything. Ive been having lot of lower back issues about a year now, but don’t really think its related? I eat pretty healthy food mostly, occasionally junk food also.

I don’t feel like I should be having this kind of problems at my age, and its really bothering me whats going on, what is wrong with me and what to do to avoid anything like this happening again?

Answered by: Maria/MD Health Forum. com team

Libido, erection, ejaculation, orgasm are four components of sexual dysfunction. The common sexual dysfunction among men is erectile dysfunction, which is defined as the repeated inability to achieve or keep an erection firm enough for sexual intercourse.

Research show that erectile dysfunction is common among older men, and sexual function significantly declines after age 50. However, erectile dysfunction may occur at any age.

Erection is a result of a complex process that involves the nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, tissues, and blood vessels in the corpus cavernosum– the tissue which contains most of the blood in the penis during erection.
Erectile dysfunction can occur if something interrupts the sequence of events that leads to an erection. Similarly, psychological issues such as stress and anxiety can cause or worsen erectile dysfunction. Sometimes the problem results from a combination of physical and psychological factors.

Common physical causes include diseases—such as diabetes, kidney disease and atherosclerosis. Hormonal problems, alcoholism, and tobacco use are also possible causes of ED.

Injury to the spinal cord, prostate, bladder, pelvis, and penis may harm the nerves, arteries, and other structures in the erectile tissue.

Erectile dysfunction may also occur as a side effect of certain medicines such as antihistamines, antidepressants, tranquilizers, cimetidine and anti-hypertensive drugs.

Problems with erection could indicate underlying health conditions that require treatment. Treating the underlying problem could be enough to restore sexual function.

It’s best to consult your doctor for an evaluation. There are many drugs and treatment options for erectile dysfunction. Treatments generally depend on the severity of the condition and underlying health problems.

This blog entry is for your general information only. I recommend that you discuss your symptoms with your own doctor.

References:
http://www.webmd.com/sexual-conditions/guide/20061101/erectile-dysfunction-common-with-age
http://www.mayoclinic.com/health/erectile-dysfunction/DS00162
http://kidney.niddk.nih.gov/kudiseases/pubs/impotence/
http://www.merckmanuals.com/professional/sec17/ch227/ch227c.html

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