I ask, why every time I change position when having sex with my wife, the erection of my penis always decreases (a bit sluggish). Is there a solution
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The inability to maintain an erection during sexual intercourse falls on the spectrum of erectile dysfunction (impotence). In this condition, there is narrowing of the blood vessels to the penis which is usually caused by fat accumulation in the blood vessels. This can be caused by diabetes mellitus, aging, high blood pressure, high cholesterol, and smoking.
Diabetes mellitus can interfere with blood flow and innervation in the penis area, resulting in erectile dysfunction. High blood pressure and high cholesterol can also interfere with blood flow. Smoking is the highest cause of symptoms due to accumulation of fat in the blood, including erectile dysfunction. In general, smoking causes a person to have a 2 times higher risk of developing erectile dysfunction.
My advice, stop smoking if you smoke. Have your blood sugar, blood pressure, and cholesterol levels checked by a doctor. If it is high, make sure you see your doctor regularly to keep your blood sugar, blood pressure and cholesterol levels under control. Maintaining an ideal body weight can also help. Do physical activity, such as brisk walking, cycling, swimming, or gardening, for 30 minutes / day at least 5 times a week. Eat a well-nourished and balanced diet. Stopping alcohol consumption can also help if you frequently consume alcohol.
If you have taken these steps, but complaints persist, you should consult a urologist. You will be examined directly and given medicine to treat your condition. If there are certain suspicions, you may be asked to undergo a urine examination and a heart record examination.
So much information from me. I hope this helps.