The first time it was hard and soft

Many things in life have to go through the first time, and the same is true for sexual life. Some people get hard and soft the first time. There are many reasons for this phenomenon, the main ones are mental and psychological factors. Because the first time is mentally tense, it is easy to cause premature ejaculation, so it will get hard and soft again quickly. Sometimes it is also directly related to environmental factors. If the environment is not very comfortable, it will increase mental tension.

Your doctor will check your circulation, examine your penis and rectum, test your nervous system, and ask you questions about your medical history, such as how long you've had trouble maintaining an erection.

Your doctor will assess your cardiovascular risk factors as mild, moderate, or severe and make sure your heart is healthy enough for sex.

Based on your personal health history, your doctor can help recommend the right treatment plan to address ED. For example, if you have low testosterone levels, your doctor may recommend a testosterone supplement.

If you're relatively healthy, your ED may be classified as psychogenic, meaning there's a mental or emotional disorder preventing you from getting and/or maintaining an erection.

If your testosterone levels are low due to aging, remember that this is completely normal. There is currently no recommendation to take testosterone as a way to solve this problem.

3. Consider oral medications. Your doctor may prescribe medications that increase blood flow to your penis, thereby helping you maintain an erection. Medications commonly used to treat ED include Viagra, Cialis, and Levitra.[13]

If your doctor prescribes Cialis, your doctor will likely recommend that you take 10 to 20 mg at least 30 minutes before sexual activity. You should not take the medication if you have experienced severe overactivity with your medication or if you are using nitrates (such as nitroglycerin) to treat chest pain.

If your doctor prescribes Levitra, you need to take it 60 minutes before sex with or without food. This medication should not be taken with nitrates.

4. Investigate mechanical aids. You can also ask your doctor about using mechanical aids to help you achieve and maintain an erection. Some men use vacuum devices and constriction rings to help with erections. The vacuum is placed on the penis and draws air, which draws blood into the penis and causes an erection.

This is maintained by placing a band or ring at the base of the penis, which keeps it erect for 30 minutes.

However, this can be an uncomfortable and awkward way to treat ED.

Potential side effects include scarring and the risk of persistent and painful erections if not administered properly.

Injection therapy may cause high blood pressure and dizziness.