{"id":846,"date":"2015-02-23T00:09:19","date_gmt":"2015-02-23T00:09:19","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/ed\/?page_id=846"},"modified":"2020-04-04T01:42:04","modified_gmt":"2020-04-04T01:42:04","slug":"erectile-dysfunction-in-young-men","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/ed\/erectile-dysfunction-in-young-men\/","title":{"rendered":"Erectile Dysfunction in Young Men – Specialized Treatment of ED in NYC"},"content":{"rendered":"

Erectile Dysfunction in Young Men: Effective Treatment in NYC<\/strong><\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n

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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: <\/strong>1-646-663-5211<\/span><\/a>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable appointment prices<\/a> with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.<\/strong><\/span><\/p>\n

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How Common are Erection Problems in Young Men?<\/strong><\/h1>\n

\"ErectionStudies show that 25% of men who are treated for erectile dysfunction<\/a> are younger than age 40<\/strong>.  In our experience, we have seen men as young as 15-16 years old who presented to us for the treatment of erectile dysfunction.<\/p>\n

It is important to note that many people misidentify erectile dysfunction and premature ejaculation<\/a><\/strong>.<\/p>\n

Erectile dysfunction<\/strong> refers to problems with getting and keeping erections are that sufficiently hard.<\/p>\n

Premature ejaculation (PE)<\/strong><\/a> refers to a condition when a man ejaculates and then loses erection too fast.  Premature ejaculation is a treatable condition.  At New York Urology Specialists, we treat both ED and PE in young men.<\/p>\n

Erectile Dysfunction (ED) in NYC in Young Men<\/h2>\n

We see many young men, students, unemployed, and young professionals<\/strong> who experience problems with erections.<\/p>\n

Some men have lifelong problems<\/strong> that have not been addressed; other men have an occasional<\/strong> or new and persistent problem<\/strong>.  Occasionally the problems may be due to relationship issues,<\/strong> new sexual partners<\/strong> or stress<\/strong>.<\/p>\n

Regardless of the cause, erection problems in young men are treatable.<\/strong><\/p>\n

Sexual Problems: Symptoms of Erectile Dysfunction<\/strong><\/h2>\n

Many young men in school, college, graduate schools and at the beginning of their careers<\/strong> experience occasional sexual problems, including difficulty with obtaining erections when they need to happen as well as difficulty maintaining them. In other words, they experience symptoms of ED (erectile dysfunction).  <\/p>\n

Erection problems may be associated with professional stress<\/strong> at work or school.  Occasionally, erection problems are associated with excessive alcohol<\/strong> consumption.<\/p>\n

Many young men experience problems with erections with new sexual partners<\/strong> or early on in their relationship.  Often a man may be able to get good erections with masturbation but not when they are needed with a partner.  This is called situational erectile dysfunction due to performance anxiety<\/span>. <\/strong><\/p>\n

Situational erectile dysfunction is caused by a high level of adrenergic stimulation (anxiety or fight or flight response).  Situational erectile dysfunction can be successfully treated with ED medications<\/a>.  <\/strong>In rare situations, penile injections<\/a> may be necessary.<\/p>\n

It is important for young men to be fully evaluated as we often find medical problems that underlie erection problems<\/strong> such as high blood pressure<\/a><\/strong>, high cholesterol, diabetes<\/strong> <\/a>or pre-diabetes, low testosterone<\/a><\/strong>, and obesity.<\/p>\n

Young men with sexual problems fall into 2 categories: (1) Erectile dysfunction<\/strong><\/a> which means inability to obtain or maintain an adequate erection and (2) men with ejaculatory problems<\/a><\/strong>, most commonly premature ejaculation<\/strong>.<\/p>\n

Many men with erectile dysfunction have coexistent premature ejaculation.<\/p><\/blockquote>\n

Erectile Dysfunction Causes in Young Men<\/strong><\/h2>\n

Traditionally, erectile dysfunction was classified as organic (caused by diabetes, heart disease, and similar conditions) or as psychogenic (caused by anxiety, stress, depression and similar causes).<\/p>\n

As we understood the biology of the brain and the mechanism of erectile dysfunction better, it is now clear that there is no clear-cut separation between psychogenic causes and organic causes of erectile dysfunction.<\/span>  The mechanism that controls erections is the same and whether it is disrupted by diabetes or anxiety, the treatment approach is similar.<\/strong><\/p>\n

Premature Ejaculation (PE) in Young Men<\/strong><\/h2>\n

Premature ejaculation<\/strong><\/a> (or coming too fast) is a significant problem as it may lead to a lack of satisfaction for man’s partner as well as for the man himself.  Some men have life-long PE<\/strong> (premature ejaculation) but for most men, premature ejaculation when it occurs, is a new problem.  There are a number of treatment options for premature ejaculation<\/strong><\/a> including behavioral as well as creams, numbing sprays, and oral medications including SSRI.<\/p>\n

Psychogenic ED: Situational Erectile Dysfunction<\/strong><\/h2>\n

Situational erectile dysfunction<\/strong> is very common among young men.  It typically occurs with new partners and new relationships.  The stress of a new relationship and performance expectations lead to performance anxiety which causes vasoconstriction of blood vessels.<\/strong> Decreased blood flow makes it difficult to obtain and maintain an erection.  In addition, neurogenic signals that normally help men to get an erection can be obtunded and impaired as a result of anxiety and stress.<\/p>\n