I need a urologist to answer the following: Are you seeing a quantifiable increase in patients under 40 presenting with symptoms of erectile dysfunction? If so, by how much has this demographic shifted over the last 5-10 years? Outside of performance anxiety, what are the most common physical causes of ED you see in this age group? How much of a role do lifestyle factors like vaping, cannabis use, poor diet, or lack of exercise play? How often are SSRIs or other antidepressants the primary culprit for ED in your younger patients? How do you navigate the conversation about balancing mental health treatment with sexual side effects? From a physiological standpoint, is there medical evidence for a phenomenon like "porn-induced ED," perhaps related to dopamine desensitization? Or do you see it primarily as a psychological issue? What are the medical risks for a physically healthy young man taking ED medication like sildenafil (Viagra) or tadalafil (Cialis) when the root cause is psychological? Are there long-term risks of dependency? When should a young man experiencing occasional erection issues be concerned enough to see a doctor? What are the key red flags that might point to an underlying physical condition (like cardiovascular issues or hormonal imbalances) rather than anxiety? I need a therapist or psychologist to answer the following: How would you define the "performance anxiety" you see in young men today? How does it differ from simple nervousness, and how does it create a self-perpetuating cycle? In your sessions, how do young men describe the influence of pornography on their real-life sexual encounters? Does it create unrealistic expectations about their own performance, their partner's appearance, or the nature of sex itself? Could this also be a symptom of a broader "loneliness epidemic"? If young men are having fewer opportunities for authentic, low-stakes intimacy, does that place more pressure on each individual sexual encounter? What is the single most important thing a man can do tonight if he's reading this article and feeling overwhelmed by performance anxiety? What are the top 3 most impactful, non-prescription lifestyle changes a young man can make to improve his overall vascular and erectile health? (e.g., specific dietary changes, types of exercise, sleep habits).

posted9/24/2025

deadline9/30/2025

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