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ED with anxiety - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2530 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hello Doctor
User :   I have a question related to a sexual problem
User :   is it okay to ask?
Doctor :  
Yes go ahead
User :   Okay, I am a male 29 years old
User :   married for a year now
User :   Since Marriage we have been having sex but we used to stop after masturbating mutually
User :   now we are planning to have kids
User :   so when I try to perform the intercourse
User :   just when I try to insert, I lose my erection
Doctor :  
OK
User :   I get a little bit tensed
User :   and then we stop the whole thing
User :   when i masturbate everything is fine
Doctor :  
So you are having premature ejaculation
User :   no i do not ejaculate
Doctor :  
How is your erection before insretion?
User :   it is full and normal
User :   when i try to get close to her and enter at that time it comes down
Doctor :  
For how long do you stay erect without entering?
User :   If I am masturbating i stay erect till i ejaculate
User :   if not i stay erect as long as I am aroused
Doctor :  
How long does it last?
Doctor :  
OK
User :   during the insertion step my arousal feeling is gone
User :   it last until that time and usually it is 5 to 10 minutes
Doctor :  
Ok
Doctor :  
so you are having
Doctor :  
erectile dysfunction
Doctor :  
due to either
Doctor :  
inability to communicate properly with your partner or some sort of
Doctor :  
anxiety at the moment of entering her
User :   yes...
User :   this is happening repeatedly and it gets worse everytime due to increased anxiety
User :   what should I do now?
Doctor :  
How many such episodes
Doctor :  
have you faced?
User :   a lot of times now
User :   atleast 15 to 20 times
Doctor :  
What is your partners response?
User :   She is also confused
Doctor :  
Ok
User :   she tries to give me different ideas
User :   but everytime somehow or the other penetration does not happen
User :   sometimes I just ejaculate outside the vagina to just see if there is any chance of pregnancy
Doctor :  
Solution is, you have to consider a multi angle approach
User :   during the ovulation period
Doctor :  
First perform all the ways of increasing/prolonginging good
Doctor :  
erection
Doctor :  
Hope you are exercising?
User :   yes for 20 minutes in the morning
Doctor :  
do you smoke or have any sort of
Doctor :  
habits?
User :   no
Doctor :  
Good
Doctor :  
increase the rigor of the exercise- duration & intensity
User :   there are various thoughts in my mind during insertion ...is my penis too big? will it enter properly? where exactly to put pressure and so on which makes me feel lose erection
Doctor :   Yes this is diagnostic of anxiety
User :   if i see an adult movie or have thoughts seperately during other times erection is normal
Doctor :  
kick this anxiety & everything will be fine
User :   how to do this?
User :   it does not seem to be simple
Doctor :  
Try not to concentrate about penetration
Doctor :  
ask your wife to insert it herself
Doctor :  
while you are not even aware of it
User :   ok
Doctor :  
It is a natural process designed to
Doctor :  
perfection
Doctor :  
everything is made to fit
Doctor :  
Just getb into a comfort
Question is related to
Diseases and Conditions
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