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What should you do when you have trouble maintaining an erection?

Dr. Sam Ward - Urologue et Andrologue

Medically reviewed by Dr. Sam Ward

Written by Anne-Sophie Laignel

Last updated 9/23/2024 - 6 min read

What to do when you have difficulty maintaining an erection?

Experiencing difficulties in maintaining an erection is a more common problem than one might think. Many men, at some point in their lives, have faced this challenge, whether occasionally or recurrently. Although it can be a source of frustration and worry, there are several solutions to address it. In this article, we will explore the causes of this issue, the available solutions, and the importance of consulting a specialist to receive appropriate treatment.

Understanding the causes of erectile dysfunction

Before looking for solutions, it is important to understand what can cause erectile dysfunction. Several factors can contribute to this situation, including:

  1. Physical causes: Physical health problems are among the main reasons for difficulties in maintaining an erection. Heart disease, hypertension, diabetes, hormonal imbalances, obesity, or neurological disorders can have a direct impact on blood circulation, thus limiting the penis's ability to stay erect.
  2. Psychological causes: Stress, anxiety, depression, relationship issues, or low self-esteem can also interfere with the ability to maintain an erection. The brain plays a crucial role in triggering the erectile response, and if you are mentally distracted or anxious, it can prevent this response.
  3. Lifestyle habits: Smoking, consuming alcohol or drugs, as well as an unbalanced diet and a lack of physical activity can all contribute to erectile dysfunction. Indeed, these habits can negatively affect blood circulation and vascular health in general, which directly impacts erection.
  4. The side effects of medications: Some medical treatments, such as antidepressants, antihypertensives, or hormone therapies, can have erectile dysfunction as a side effect.
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The solutions to overcome these difficulties

There are several solutions for treating erectile dysfunction, and often, a combination of treatments is necessary to achieve satisfactory results. Here are some options to consider:

  1. Change one's lifestyle

A healthy lifestyle is the first step towards improved erectile function. Here are some simple yet effective actions you can take:

  • Improve your diet: Consuming nutrient-rich foods, such as fruits, vegetables, whole grains, and lean proteins, promotes better blood circulation. Foods high in antioxidants and omega-3 fatty acids can also improve vascular health.
  • Exercise regularly: Physical exercise improves blood circulation, reduces stress, and promotes overall good health. Cardiovascular activities, such as running, cycling, or swimming, can particularly help to improve endurance and sexual health.
  • Reduce or quit smoking: Smoking can reduce blood flow and negatively affect the ability to maintain an erection. Quitting smoking can greatly improve your sexual performance in the long term.
  • Limit alcohol and drugs: Excessive consumption of alcohol or illicit substances can have a direct impact on the ability to achieve and maintain an erection. Moderating or eliminating these habits can help you regain better erectile function.
  1. Drug therapies

For those whose erectile problems persist despite lifestyle changes, medications can be an effective solution. Phosphodiesterase type 5 inhibitors (PDE5), such as Viagra(r) (sildenafil), Cialis(r) (tadalafil), and Levitra(r) (vardenafil), are among the most popular treatments for erectile dysfunction. These medications work by increasing blood flow to the penis, thus facilitating an erection.

If you are considering this type of treatment, it is essential to consult a specialist to get a prescription tailored to your needs. On Kano.care, you can consult with doctors online and get prescriptions for erectile dysfunction treatments discreetly and safely.

  1. Psychological therapies

If the causes of your erectile problems are primarily psychological, working with a psychologist or a sexologist can be extremely beneficial. Cognitive-behavioral therapies (CBT) can help overcome performance anxiety, self-confidence issues, or other emotional factors that interfere with your ability to maintain an erection.

It is also useful to have open discussions with your partner about your concerns. Clear communication can reduce pressure and help you better understand and resolve underlying issues.

When to consult a specialist?

If erectile dysfunction is persistent or significantly affects your quality of life, it is essential to consult a healthcare professional. Specialists can diagnose the underlying causes of erectile dysfunction and recommend treatments suited to your specific situation. Do not let embarrassment or discomfort prevent you from seeking help.

Thanks to technological advances, it is now easier than ever to consult a doctor from the comfort of your home. On Kano.care, you have access to online specialists to discuss your erectile problems, ask all your questions, and get a prescription in complete confidentiality.

Additional tips to improve your sexual performance

  • Managing stress: Stress is a common cause of erectile dysfunction. Practice relaxation techniques such as yoga, meditation, or breathing exercises to help you stay calm and relaxed.
  • Maintaining good mental health: Do not hesitate to speak to a mental health professional if you feel overwhelmed by anxiety or depression. A healthy mind contributes to better sexual function.
  • Adopt a regular sleep pattern: Quality sleep promotes the production of hormones necessary for erectile function. A lack of sleep can disrupt these biological processes and affect your sexual performance.

Erectile dysfunction can be embarrassing and frustrating, but it should not be ignored. There are many solutions to overcome this issue, whether they are related to lifestyle changes, medical treatments, or psychological therapies. The key is to understand the underlying causes and to take appropriate action. Often, a combination of these different treatments is most suitable.

If you are experiencing persistent difficulties, do not hesitate to consult a specialist. With Kano.care, you can benefit from an online consultation with healthcare professionals, get an accurate diagnosis, and receive appropriate treatments, all from the privacy and comfort of your own home.

Consult an expert today to resolve your intimate health problems.
Dr. Sam Ward - Urologue et Andrologue

Révision médicale par le Dr. Sam Ward

Directeur médical, Urologue et Andrologue

Le Docteur Sam Ward, urologue et andrologue, dirige le service d'urologie à la Clinique Saint-Jean de Bruxelles depuis octobre 2024. Membre du Comité exécutif de la Chaire UNESCO Santé sexuelle & Droits humains et cofondateur de Kano.care, il est spécialise en santé masculine et médecine sexuelle.

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Reviewed on 4/7/2025

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Treatments for erectile dysfunction, such as Viagra®, Cialis®, Levitra®, and Spedra®, carry potential risks that vary depending on the patient's health condition. They may cause serious side effects, including cardiovascular issues, dangerous drug interactions, or prolonged erections (priapism), which require immediate medical attention. It is essential never to take these medications without the advice of a qualified healthcare professional. A thorough medical consultation is necessary to determine the appropriate treatment for each individual, taking into account medical history and contraindications. Additionally, it is crucial to ensure that the medications are obtained from reliable and authorized sources. Medications purchased outside legal channels or without a prescription may be counterfeit, ineffective, or even harmful to health. Always consult a doctor before using these treatments and obtain medications from a licensed pharmacy.

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