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Urology  (Expert Forum)
 | 
Erection Concerns
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Erection Concerns

by scaredat41, May 08, 2007 12:00AM
Tags: erection
Hello,

Feel weird writing this.  41 yr old male that just came back from a "kid free" vacation wtih my wife.  Had sex 3 times in 24 hours.  The second time my commented the best it has been in a long time.  The third time and during mid-activity, the penis went limp.  First time this has ever happenned to me.  (I usually maintain an erection post-climax for a period.) Did not know what to do.  Finished by masturbation with the semi-erection with more volume than usual.  Have not been able to maintain an erection since.  3 days have past.  I normally wake up with an erection prior to going to the bathroom, but today I woke up this morning with a semi-erection, and it feels like the muscle that controls/maintans it does not exist.  Also, there is a dull pain in my left pubic area.  Is it possible to pull a muscle? Can my mind do this to me and now taking over?  Called my urologist.  Receptionist said this is not an emergency will see in a month.  I am driving myself and wife crazy with the unknown.  Should I consult my regular physician in the interim?  Anything insight would be appreciated.

Thanks in advance

by Kevin Pho, MD, May 09, 2007 12:00AM
It would not hurt to have it evaluated by your regular physician.  Routine initial testing would include urine tests to rule out infection, as well as a rectal exam to evaluate the prostate.  Checking the pulses for any potential vascular disease as well as blood tests to rule out diabetes or thyroid conditions can also be considered.

More specific testing would including an ultrasound to determine if there are any blood flow problems to the penis.

These options can be discussed with your personal physician, or in conjunction with your urologist.

Followup with your physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
Member Comments (1)

by scaredat41, May 08, 2007 12:00AM
To: Urology - General
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