Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts

Does it Matter if your Erections are Hard like a ROCK? | AMA

Sep 12, 2025
Dive into the intriguing world of erectile health as questions about hardness and erectile dysfunction are tackled. Discover how erectile strength is measured and the psychological factors that play a role in sexual experiences. Learn strategies for dealing with sexual side effects from SSRIs and the importance of patient empowerment through clear communication with healthcare providers. Gain valuable tips on navigating sexual dysfunction and advocating for your well-being in a refreshing discussion!
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INSIGHT

Erectile Hardness Scale Matters Most

  • The Erectile Hardness Score (1–4) gives a simple clinical measure of rigidity for intercourse.
  • Clinical focus is whether erections are sufficient for penetrative sex, not absolute maximal hardness.
INSIGHT

Scores Versus Satisfaction

  • ED severity is quantified with a short questionnaire that scores confidence and frequency of firm erections.
  • Ultimately patient and partner satisfaction with erections matters more than technical scores.
ADVICE

Be Your Own Medical Quarterback

  • Keep and share your medical records and act as the quarterback for your care when seeing multiple doctors.
  • Use patient portals, request notes, and ask providers to communicate to ensure coordinated treatment.
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