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signs have me worried about a possible venous leak?

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I am 22 years old and am beginning to worry about a couple issues. I can achieve an erection while sitting down, however once I try to stand up I will lose my erection rather quickly and it takes a while to achieve an erection again after it softens. Sometimes it will harden rather quickly before ejaculation. I also notice that when I do not stimulate myself I could lose my erection withing 10-30 seconds, I don't know if it is because I am not focused or what. I seem to have a harder erection when I am with my girlfriend. All these signs have me worried about a possible venous leak. I can have sex with my girlfriend and last a long time but I would still like to know why my erections go away so fast when I stand up. I have seen a urologist and I didn't gain anything from it, and it cost me 200 dollars. I just want to know if anyone can help me out or if it is most likely low Testosterone or some other hormone, or even sexual exhaustion. Please help me!!

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replied October 30th, 2011
Erectile Dysfunction Answer A28058

Welcome to the ehealthforum and I am glad to help you out. An erection problem is the inability to get or maintain an erection that is firm enough for a man to have intercourse. If the condition persists, the medical term is erectile dysfunction.

Causes may be psychological, smoking, alcohol, illicit drugs and medical conditions like diabetes, high blood pressure, heart or thyroid conditions, poor circulation, low testosterone, depression, spinal cord and neurological causes.

In your case psychological reasons can be responsible for your symptoms. To exactly pinpoint a diagnosis you need to get a complete examination done from a urologist and then only start with treatment. Testosterone can be prescribed only if you have a low level of testosterone.

I sincerely hope that helps. Take care.

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