Signs and Symptoms

1. Frequent difficulty getting and keeping an erection adequate for sexual intercourse.

What to do now

1. During lovemaking, relax and take your time. Talk to your partner about what arouses you sexually.

2. If you are anxious about your ability to perform sexually, discuss the feelings with your partner but not during lovemaking.

3. Try reading erotic materials, watching erotic videos, or indulging in sexual fantasy, if these things appeal to you.

When to call a doctor

1. If erection problems regularly interfere with your ability to have sexual intercourse or are causing difficulties in your relationship with your partner.

2. If you are taking drugs that might be causing the problem.

3. If physical causes have been ruled out, ask for a appointment with a qualified counselor or therapist to help you identify and address any psychological issues.

How to prevent it

1. If you drink alcohol, have no more than two 250ml cans of beer, 200ml of wine or 50ml drinks of hard liquor a day.

2. If you smoke, quit.

3. Exercise regularly and eat healthfully.

4. Take steps to reduce your stress; try deep breathing, meditation, or yoga.

5. Ask a specialist about the Kegel pelvic muscle exercise; these may work well for men with narrowed arteries or other circulation problems.

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