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Urology/Possible erectile dysfunction?


Hello Dr. Leslie.

I have a few symptoms that I'm worried could be signs of erectile dysfunction or venous leakage etc.

I have never had a morning erection that I can think of. I can get an erection and I can have sexual intercourse but only with consistent physical stimulation from myself or from a partner. Once physical stimulation stops, my erection will usually go away rather quickly. This is not always the case though, there have been some sexual encounters where I have been able to switch positions and maintain an erection but it is quite rare. This has been the case as long as I can remember.

My question is, is a lack of morning erections a reason for concern? and is the inability to have or maintain an erection with out consistent stimulation a sign of erectile dysfunction or venous leakage? If it is erectile dysfunction, would it more likely be due to physiological or psychological causes or both?


Technically, this is not ED since you can get erections and have intercourse.   But you may still benefit from a trial of Viagra.  Lack of morning erections is not. conclusivs.  Impossible to tell if this is physical or psychological,but probably not venous leak.


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Stephen W. Leslie, MD


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


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.

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

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.

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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