Patient :I am a healthy 16 year old that works out regularly and over the past few months i have had erection problems that have gotten me really worried. I am going to a urologist next week but am still desperate for help. It started out about 4 months ago when i stopped getting morning erections and the symptoms have stayed consistent. They are as follows:1. General lack of interest, i cant get an erection out of mental stimulation anymore i need to stroke my penis to get an erection. 2. I cant achieve an erection standing up. But if i get one sitting down i can keep it fully erect standing up as long as physical stimulation is constant.3. I dont know if this is significant but i have to like squeeze the tip of my penis (not hard) to get the blood flowing.4. I have like an addiction to porn and i feel the need to tesg myself so i masterbate everybday just to relieve the stress caused by these problems. (This anxiety makes me feel somewhat hopeful that it is psychological but the following physical causes make me think the worst...) 4. My main concern!: Rapid loss of erection once stimulation stops. If i am standing it starts to pulse down in 3 seconds-5 seconds. If i am sitting and am not mentally stimulated 5 seconds. If i am sitting and mentally stimulated it starts to fade in 5-10 seconds. If i am close to orgasm and i am sitting with precum leaking at the tip it can last up to 30 seconds but not always before it starts to go down. If iam standing like 10 seconds With precum maximum before it starts to fade. If i touch it once it starts going down it goes back up relatively quick though.5.also i had a variocele vein tested last year. I dont know if thats significant 6. now the positives are that i can achieve a full erection if i am relatively in a a comfortable position. Glans are fully engorged the penis tip is almost fully hard. I think my erections are harder now i than before these problems started but they feel different in a way... now back to the negatives i am almost certain it is venous leak but i dont know what the cause would be. I hope its psychological but i fear the worst mainly because of the rapid loss of erections and the online research that i discovered that people with venous leak have almost identical symptoms. Help me i need help the last few months have been terrible and i feel something uncurable is wrong with me i never hurt my penis so what is happening. Be honest with a diagnostic and please tell me what could be causin this and please take venous leak into consideration (tell me if you think i might have it or what i have) Thanks i need it.
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.