What is the reason why men can't get hard the first time?

Many people will find that it is difficult for men to get an erection during their first sexual intercourse. In fact, when this happens, you should also pay attention to understand the cause. If you rule out some emotional tension, then you should pay attention to check whether there are some reproductive diseases, urogenital malformations or endocrine diseases, which may cause the penis to be unable to erect.

1. Urogenital malformations. Congenital penile curvature, double penis, small penis, penoscrotal displacement, retroverted bladder, urethral fissure, congenital absence or dysplasia of testicles, scar formation of corpus cavernosum fibers, varicocele, etc. may cause erection failure due to deformity, curvature, corpus cavernosum dysfunction, etc.

2. Urogenital diseases. It is common for patients with chronic urogenital inflammation to have erectile dysfunction, such as orchitis, epididymitis, urethritis, cystitis, prostatitis, etc. Among them, chronic prostatitis is the most common cause of erectile dysfunction. Patients with chronic renal failure often have erectile dysfunction due to testicular atrophy and decreased testosterone.

3. Endocrine diseases. Many cases of penis erection failure are caused by endocrine diseases.

4. Sexually transmitted diseases. Late-stage syphilis and other diseases can cause the penis to not be hard. In addition, some patients' penis erection is not hard due to psychological factors, such as tension and low self-esteem, which may also lead to erection failure.