What might the problem be unable to withstand the erection for a long time which started after the damage to lower lumbar in an accident?
Patient: I am a 19 year old male, recently involved in a car crash, no serious damage just minor back  (lower lumbar) injury.. my sex life has not been the same since the accident, my mom says it is a pinched nerve because i cant seem to keep anerection long enough to finish, i can have an erection but it isnt full and if it goes away it is impossible to get another one.. i need some help with what it might be.. i know it could be ED but before the wreck i didnt have this problem Doctor: Hello,After injury, there may be a damage to your nerves in spinal cord.That's why you have erectile dysfunction.Spinal cord injury (SCI) has a significant impact on erectile dysfunction.Treatment modalities for individuals with SCI are similar to treatments for those without Spinal cord injuries.Stress and anxiety may add the fuel in the fire and thus consult a psychologist.Usual treatment options are1. Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra, Staxyn) These drugs enhance the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation.2. Alprostadil self-injection into the base or side of your penis. Each injection generally produces an erection that lasts about an hour. 3. Penis pumps, surgery and implants- if medication did not works.further1. If you smoke, quit.2. Lose weight-Being overweight can cause or worsen erectile dysfunction.3. Exercise regularly - this educing stress, helping you lose weight and increasing blood flow.4. Avoid alcohol- Drinking too much or taking certain illegal drugs can worsen erectile dysfunction directly or by causing long-term health problems.5. Improve communication with your partner and consider couples or marriage counseling if you're having trouble working through problems on your own.Hope this helps.Please write back for further queries.Wishing you good health.