A 26-year-old male asked:
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21 male. always had some issues maintaining erections when standing up. now sometimes i lose erections without constant stimulation and cannot maintain one hardly at all standing. i suspect venous leak? common at this age? can it be treated? ideas?

1 doctor answer
Dr. Samuel Lee
30 years experience Urology
Psychogenic cause: erectile dysfunction occurring in your age group tends to be psychogenic rather than organic unless there are known injury or cause. You need to see a urologist for full evaluation to rule out causes like diabetes. Lab tests including testosterone level and BMP should be checked in minimum. Vascular penile Doppler study may be of benefit. Empiric therapy with Viagra (sildenafil) may be also beneficial
Answered on Jul 15, 2015

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A 26-year-old male asked:
Dr. Darrell Herrington
33 years experience Family Medicine
See a urologist. : There may be some underlying reasons for this, and it deserves a proper evaluation.

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