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Question
sir
i am 46year
taking no medication.
i am 12 kilos overweight
apart from that im ok.
latley my erections are not 100per cent
sometimes they are hard when i wake up and
sometimes soft not so hard.
the same when i masturbate.
i had a blood test .all ok euen testorone ok550ngl
could it be stress?im in a divorce
sleep problems etc
thank you for any help and advice
kind regards

Answer
Marco:

In general, when erection function is variable, the reason is psychological.  This makes sense when you understand that blood flow, tissue health and nerve function are relatively stable while emotional factors are more variable.  Talk to your physician for some help with this problem.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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