What causes erectile dysfunction? Why do some people ejaculate prematurely?

We spoke to a sexual health doctor about the erectile dysfunction symptoms and treatments that his patients often experience.



Sexual health charity ambassador Ryan Lanji asked Dr Achyuta Nori to bust some myths around sexual health—including premature ejaculation and why some people experience erectile dysfunction.

Watch the video below about symptoms of erectile dysfunction and premature ejaculation solutions.

This video is part of a series produced in collaboration with Naz, a charity that works with BAME and LGBT+ communities to increase awareness around sexual health. The series also explores what it’s like to try chemsex and the dangers, as well as myths about condoms.

How common is erectile dysfunction?

“It’s surprisingly more common than people think it is,” explains Dr Achyuta Nori.

“In younger men who don’t have any other medical problems, erectile dysfunction is something we tend to see a lot.

“Especially in ethnic minority people where if you have you have a lot of pressure, that’s kind of psychological, [including] performance anxiety, which would make it difficult to maintain an erection.

“Also, if you are having sex that you don’t really want to have that would be another thing which would then be perceived as ‘it’s become a performance, ooh, I have to do this’ and then you find that you can’t.

“It might be that you’re not attracted to the person you’re trying to have sex with, there might be a lot of expectations driven by things like pornography where people seem to have these erections that go on forever and sex that goes on forever.”

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Causes of Premature ejaculation

Despite myths around premature ejaculation not being real, it is very much an issue many of Dr Nori’s patients have experience.

“It is a thing—it tends to be if the penis is very sensitive,” he explained.

“It quite largely tends to be psychological where you’re putting a lot of pressure on yourself or there’s a lot of excitement and you can come to completion before you satisfy your relationship.

“That tends to cause a lot of issues in relationships.”

Premature ejaculation treatment

“If you’re having ejaculation before you can achieve penetration, there are things we can do to help you,” Dr Nori reassured.

“I don’t think anything can really be done to get 20 minutes of penetration, that’s unrealistic.

“But actually to have satisfying sex is definitely achievable and something we can do in psychosexual services in sexual health clinics.”

In the UK, you can also speak to Naz56 Dean StreetTerrence Higgins TrustLGBT Foundation in Manchester and London Friend.

Naz recently launched a campaign aimed at South Asian men who have sex with men called Sholay Love.




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