Difficulty getting or keeping an erectionErection hasil karne ya qaim rakhne mein mushkil

Yeh alamat kya hai

Erection ki mushkil ka matlab hai erection hasil na kar pana, ya jinsi taluq ke liye kaafi mazboot rakh na pana, itni baar ke fikr paida ho. Yeh mahinon ya barson mein aahista aahista, ya achanak shuru ho sakti hai. Yeh sirf saathi ke saath, sirf kabhi kabhi, ya har waqt ho sakti hai.

Bohat se mard sharminda hote hain aur kuch nahi kehte, kabhi barson, ya be-saboot jinsi taqat ki cheezon ki taraf chale jate hain. Meherbani karke aisa na karein. Yeh tibbi masla hai, mardangi ki nakaami nahi, aur mard urologist ko dikhane ki sab se aam wajohat mein se aik hai.

Aam wajohat

Jism ki wajohat

• Diabetes. Waqt ke saath khoon ki zyada shakkar chhoti khoon ki nalion aur nason ko nuqsan pohanchati hai. Erection ki mushkil aksar pehli nishani hoti hai ke mard ko diabetes hai.
• High blood pressure, zyada cholesterol aur dil ki bimari, jo khoon ki nalion ko tang karti hain. Erection ki mushkil dil ke masle se barson pehle aa sakti hai, is liye jaanch karwana faida mand hai.
• Sigrate aur tambaku, jis mein chabane wala tambaku aur tambaku wala paan shamil hain, jo khoon ki nalion ko nuqsan pohanchate hain.
• Wazan zyada hona, ya kam warzish, kharab neend ya zyada sharab.
• Kam testosterone, jo khwahish, tawanai aur mood ko bhi kam kar sakta hai.
• Nas ka nuqsan reerh ke masle, chot, stroke, ya pelvis mein operation ya radiotherapy se, maslan prostate ya aant ke liye.
• Barhi hui prostate aur uska ilaaj, ya peshab ke doosre masail (dekhein enlarged prostate guide).
• Peyronie's disease, shaft mein sakht tukra jo ghoomna ya dard paida karta hai.
• Kuch dawaiyan, jin mein blood pressure, udaasi ya prostate ki kuch dawaiyan shamil hain. Meherbani karke koi dawai khud na chhorein. Pehle apne doctor se baat karein.

Zehn aur zindagi ki wajohat

• Dabao, fikr, udaasi ya depression, aur paisay, kaam ya khandan ki fikr.
• Jinsi karkardagi ki fikr. Aik bura tajurba aisa dar paida kar sakta hai jo agli baar ko mushkil bana de.
• Rishte ke masail, thakan, ya kharab neend.

Agar aap subah sakht erection ke saath uthte hain ya akele mein hasil kar sakte hain lekin saathi ke saath nahi, to wajah aksar zehn mein hoti hai. Lekin meherbani karke yeh farz na karein, aur yaqeen ke liye doctor ko dikhayein. Zyadatar mardon mein wajohat ka mel hota hai.

Jaanch aam tor par kaise hoti hai

Aap ke doctor poochhenge ke yeh kab shuru hua, achanak hai ya aahista, kya subah ke erection hote hain, aap ki khwahish, rishta, mood, aur aam sehat, sigrate aur dawaiyan. Woh dil, diabetes aur peshab ki alamaat ke bare mein poochhenge, aur penis, scrotum aur kabhi prostate ka muaina karenge. Woh aap ka blood pressure aur wazan bhi dekhenge. Aam tests yeh hain:

• Khoon ki shakkar ka test, diabetes dekhne ke liye.
• Cholesterol, kidney aur jigar ke khoon ke tests.
• Testosterone ka khoon ka test, subah liya jata hai.
• PSA khoon ka test, kuch mardon mein, is baat par guftagu ke baad ke yeh kya bata sakta hai aur kya nahi.
• Penis ka ultrasound khoon ke bahao ko dekhne ke liye, kuch mardon mein jab doosre ilaaj kaam na karein ya operation ka soch rahe hon.
• Dil ka jaiza, maslan ECG, ya dil ke doctor se mashwara agar khatre ke ansar hon.

Ilaaj ke liye meherbani karke erectile dysfunction guide dekhein. Aap ke urologist wohi chunenge jo aap ke liye munasib ho.

Ab kya karein

• Aise doctor ko dikhayein jis par aap bharosa karte hain, aur saaf batayein ke kya ho raha hai. Aap tanhai mein dikhane ke liye keh sakte hain, aur doctor aap par faisla nahi karega.
• Meherbani karke medical store, internet, hakeem ya sarak par bechne walon se goliyan, injection, tel ya "taqat" ki cheezein na kharidein. Kuch mein chhupi hui dawaiyan ya nuqsandeh cheezein hoti hain, aur yeh dil ki bimari wale mardon ya kuch dawaiyon par khatarnak ho sakti hain.
• Har qism ka tambaku chhor dein. Sigrate aur chabane wala tambaku un nalion ko nuqsan pohanchate hain jo penis ko bharti hain, aur chhorne se erection behtar ho sakte hain.
• Chusti rakhein aur wazan theek rakhein. Roz ki sair khoon ke bahao, khoon ki shakkar, mood aur neend ke liye madadgaar hai.
• Sharab kam karein, aur nasheelay cheezon se bachein, jo erection ko mutasir karti hain.
• Agar aap ko diabetes ya high blood pressure hai, to apni dawaiyan jaari rakhein aur apni reading qaabu mein rakhein.
• Apni biwi ya saathi se baat karein. Yeh mushtarka masla hai, aur khamoshi ko aksar dilchaspi ki kami samjha jata hai. Khul kar baat karne se dabao kam hota hai aur ilaaj behtar kaam karta hai.
• Apne zehn ka khayal rakhein. Agar aap udaas, fikarmand ya dabao mein hain, to doctor ko batayein, kyunke is ka ilaaj aksar erection mein bhi madad karta hai.
• Urologist ko dikhayein agar masla chand hafton se zyada rahe, shaft mein ghoomna ya dard ho, operation ya chot ke baad ho, ya saade iqdamaat se madad na mile.

Aam sawalaat

What this symptom is

Erectile difficulty means not being able to get an erection, or not being able to keep it firm enough for sex, often enough to cause worry. It may come on slowly over months or years, or suddenly. It may happen only with a partner, only sometimes, or all the time.

Many men feel ashamed and say nothing, sometimes for years, or turn to unproven sexual-strength products. Please do not. It is a medical problem, not a failure of manhood, and it is one of the most common reasons men see a urologist.

Common causes

Body causes

• Diabetes. High blood sugar over time damages the small blood vessels and the nerves. Erection difficulty can be the first sign that a man has diabetes.
• High blood pressure, raised cholesterol and heart disease, which narrow the blood vessels. Erection difficulty can come years before a heart problem, so it is worth a check.
• Smoking and tobacco, including chewing tobacco and paan with tobacco, which harm the blood vessels.
• Being overweight, or having little exercise, poor sleep or heavy alcohol use.
• Low testosterone, which can also lower desire, energy and mood.
• Nerve damage from a spine problem, an injury, a stroke, or surgery or radiotherapy in the pelvis, such as for the prostate or bowel.
• An enlarged prostate and its treatment, or other urinary problems (see the enlarged prostate guide).
• Peyronie's disease, a hard plaque in the shaft that causes a bend or pain.
• Some medicines, including some for blood pressure, low mood or the prostate. Please do not stop any medicine on your own. Speak to your doctor first.

Mind and life causes

• Stress, anxiety, low mood or depression, and worry about money, work or family.
• Worry about sexual performance. One bad experience can create fear that makes the next one harder.
• Problems in the relationship, tiredness, or poor sleep.

If you wake with a firm erection or can get one when alone, but not with a partner, the cause is more often in the mind. But please do not assume this, and see a doctor to be sure. Most men have a mixture of causes.

How it is usually investigated

Your doctor will ask when it started, whether it is sudden or slow, whether you have morning erections, your desire, your relationship, your mood, and your general health, smoking and medicines. They will ask about the heart, diabetes and urinary symptoms, and examine the penis, scrotum, and sometimes the prostate. They will also check your blood pressure and weight. Usual tests are:

• A blood sugar test, to look for diabetes.
• Blood tests for cholesterol, kidney and liver function.
• A testosterone blood test, taken in the morning.
• A PSA blood test, in some men, after a discussion of what it can and cannot tell you.
• An ultrasound scan of the penis to look at blood flow, in some men if other treatments are not working or surgery is being considered.
• A heart check, such as an ECG, or review by a heart doctor if there are risk factors.

For treatment, please see the erectile dysfunction guide. Your urologist will choose what suits you.

What to do next

• See a doctor you trust, and say plainly what is happening. You can ask to be seen in private, and a doctor will not judge you.
• Please do not buy tablets, injections, oils or 'power' products from a counter, the internet, a hakeem or a street seller. Some contain hidden drugs or harmful substances, and they can be dangerous for men with heart problems or on certain medicines.
• Stop all tobacco. Smoking and chewing tobacco harm the blood vessels that fill the penis, and quitting can improve erections.
• Keep active and keep your weight healthy. A daily walk helps blood flow, blood sugar, mood and sleep.
• Limit alcohol, and avoid drugs, which affect erections.
• If you have diabetes or high blood pressure, keep taking your medicines and keep your readings under control.
• Talk to your wife or partner. It is a shared problem, and silence is often taken as lost interest. Being open lowers pressure and helps treatment work.
• Look after your mind. If you feel low, anxious or stressed, tell your doctor, since treating this often helps erections too.
• See a urologist if the problem lasts more than a few weeks, comes with a bend or pain in the shaft, follows surgery or an injury, or if simple steps do not help.

Common questions