
Doctors at Gia Dinh People's Hospital (Ho Chi Minh City) provide consultation and health check-up for patients at the men's health clinic - Photo: MINH TOAN
More worryingly, many young people silently endure their suffering, searching for information online or being misled by advertisements for "traditional remedies," "boosts for virility," or "increases testosterone" of unknown origin, leading to delays in treatment.
Erectile dysfunction caused by KPI pressure and prolonged stress.
Patient TNV (29 years old, residing in Ho Chi Minh City) came to Gia Dinh People's Hospital for a urological examination due to prolonged anxiety about his decreased erectile function over the past several months.
According to his account, Mr. V. is currently experiencing a period of high work pressure, frequently staying up late to meet targets, sleeping irregularly, and suffering from prolonged stress. Initially, he only noticed a gradual decrease in morning erections. Later, he began to have difficulty maintaining an erection during intimacy with his wife, causing him even more anxiety.
For nearly six months, Mr. V. and his wife have been hoping to have their first child and have been actively trying to conceive. However, his erectile dysfunction has made him increasingly hesitant to be intimate. Mr. V. has gradually avoided his wife and is constantly anxious, self-blaming, insecure, and stressed.
Upon arriving at the hospital, Mr. V. underwent a thorough assessment of his symptoms, clinical examination, ultrasound, semen analysis, and endocrine tests. The results showed no significant structural abnormalities in the reproductive organs; however, testosterone levels were relatively low, and semen analysis parameters were within the normal range.
The patient then received individualized counseling and treatment. Besides medication, doctors focused on lifestyle adjustments, encouraging increased physical activity and sufficient sleep. After a period of treatment, Mr. V.'s condition improved significantly.
Mr. V's morning erections gradually became more stable, his ability to maintain an erection improved, his mood improved, and his confidence in his marital life gradually recovered without relying on medication. The joy for his family was multiplied after the treatment when his wife conceived naturally.
A 48-year-old male patient, a successful businessman, visited a clinic in Ho Chi Minh City for treatment of erectile dysfunction that had lasted for several months during a period of high work pressure. Notably, all his test results were completely normal after the doctors examined him.
During the conversation, the patient stated that they often work long hours, get little sleep, rarely express feelings of fatigue, and always try to maintain the image of "I'm fine."
The doctors focused on restoring the foundation: re-establishing sleep patterns, reducing social engagements and alcohol consumption during the peak weeks, reintroducing regular exercise, and most importantly, "lowering the guard" by learning to share their true feelings with their partner to reduce the pressure to always be perfect. After a few weeks of treatment, the erectile dysfunction significantly improved.
Note the phenomenon of morning erectile dysfunction.
According to Dr. Nguyen Huynh Dang Khoa, from Gia Dinh People's Hospital (Ho Chi Minh City), erectile dysfunction in young men should not be taken lightly or attributed entirely to psychological factors. Prolonged stress, lack of sleep, and circadian rhythm disorders can contribute to disrupting the endocrine-gonadotropic axis, causing testosterone levels to drop to low levels.
In this case, patients not only experience impaired erectile function but also easily fall into fatigue, reduced energy, decreased self-confidence, emotional disturbances, and reduced work performance. These factors interact with each other, creating a vicious cycle.
According to Dr. Khoa, the rate of erectile dysfunction in young men is approximately 8-15%, with morning erections being a significant detail to note. This could be a sign that the body is experiencing the effects of prolonged stress, sleep disorders, or hormonal changes, and may even be a sign of metabolic disease, rather than simply temporary fatigue.
Dr. Nguyen Gia Ky, from the Urology Department at Gia Dinh People's Hospital, said that erectile dysfunction can be effectively treated if detected early and properly assessed. Men should seek medical attention if they experience symptoms such as prolonged morning erections, difficulty maintaining an erection, decreased libido, fatigue, and a feeling of lack of energy.
Notably, prolonged erectile dysfunction can reduce the frequency of intercourse, thereby affecting the chances of natural conception and contributing to infertility in some couples. Early diagnosis not only helps improve sexual function but also helps identify endocrine, psychological, or lifestyle disorders that are silently impacting overall health.
Doctors advise young men not to underestimate changes in their bodies, especially in the context of increasing work pressure, late nights, and stress. Erectile dysfunction is not a shameful issue, and it should not be treated with anecdotal advice or unverified advertisements. When experiencing any abnormal signs of erectile function, it is crucial to seek prompt and comprehensive evaluation and appropriate treatment at a specialist, especially for couples trying to conceive.
Beware of "fast-acting erectile dysfunction" drugs.
Dr. Tra Anh Duy, from the Men's Health Center, stated that currently, the most common medications for treating erectile dysfunction are prescription drugs in many countries because they require assessment of cardiovascular health, existing medications, and potential interactions. Worryingly, the market offers "fast-acting erectile dysfunction" products, making it difficult for patients to know what they are taking.
Many products that falsely claim to be "herbal remedies," "candies," or "energy chocolates" are actually mixed with the active ingredient PDE5i or similar derivatives in uncontrolled doses. When combined with alcohol and especially nitrates, the risk of hypotension increases sharply, potentially leading to fainting and cardiovascular events.
Source: https://tuoitre.vn/nguoi-tre-roi-loan-cuong-duong-tang-20260527223124686.htm








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