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Effects of smoking on sexual dysfunction - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Sir
I am 23 year old Indian guy. my sex life is quite ok. but now i am facing a problem. whenever i go to bed with my girlfriend & i try to enter my penis its loose tightness very quickly (without ejaculation). this problem comes on bed only. rest of time when i saw any passionate things, talking sexually with my girlfriend or wake up time its hardness is quite ok.
please help me i am so scared.
Doctor :   hi
Doctor :  
ok
Doctor :  
since when are you facing this problem?
User :   from 6 month
Doctor :  
i will need to ask you a few more questions. Can I proceed?
User :   yes doc
Doctor :   do you masturbate?
User :   yes
Doctor :  
since what age have you been masturbating?
User :   16
Doctor :  
what is the frequency of masturbation before sexual contact and after sexual contact?
User :   about 2 days
Doctor :  
do you get night time erections?
User :   no
Doctor :   do you get early morning erections?
User :   sir i cant understand are u saying about night fall??
Doctor :  
no, its not night fall, i meant to ask do you ger erections when you are asleep?
Doctor :  
and do you get erections when you wake up in the morning?
Doctor :  
do you smoke? do you consume alcohol?
User :   yes sir when i wake up
User :   ya sir i smok
Doctor :   ok
User :   i consume alcohol but very rearly
Doctor :  
how many cigarettes do you smoke per day? and since when are you smoking?
User :   its about 4 to 5 cigarettes, i start smoking from last 4 years
Doctor :  
smoking results in erectile dysfunction problems.
User :   sir i want to give you some more update
Doctor :   also there is psychological reasons too for these problems to occur, especially when the person is preoccupied with thoughts about his performance in bed
Doctor :  
ok. please go ahead
User :   from last 2 year i use to masturbating, when i am having telephonic sexually communication with my girl friends.
Doctor :  
ok
Doctor :  
are you there?
User :   ya doc
Doctor :  
ok
Doctor :  
shal we proceed with the discussion?
User :   yaa sir
Doctor :  
would you like to share any more such relevent information?
User :   i feel that this problem comes after these telephonic communication
Doctor :  
ok
Doctor :  
is there any problem that you face to achieve an erection?
User :   no
Doctor :   is there any problem in maintaining erection? for how many minutes are you able to sustain erection once the penis is erect?
Doctor :  
average erection time is about 6 and 1/2 minutes in normal individuals.
Doctor :  
if your erection time is less than that, then you should consider quitting smoking
Doctor :  
and also masturbating while on telephone
User :   as i say out of bed its long enough. on bed its about to 1 min.
Doctor :  
since what stimulus you give to your brain, the brain adapts to it
Doctor :  
and each time you your body to perform a particular function , it will search for the similar stimulus
User :   sir i thought i am on way to impotency
Doctor :  
what could have happened in your case is that your brain has adapted to telephonic conversation while masturbating
Doctor :  
and the it requires the same stimulus each time you want to ejaculate
Doctor :  
your case is not of impotency, it is of erectile dysfunction
Doctor :  
which can be managed with behavioral changes and practice
Doctor :  
i suggest you to follow these steps and see if you benefit out of these, if not, then you will need to consult a andrologist or a sexologist
Doctor :  
1) quit smoking or reduce smoking as much a spossible
Doctor :  
2) avoid masturbating o=while on phone
Doctor :  
3) clear your mind about impotency thought when you are sexually active
Doctor :  
4) practice more of foreplay instead of penetrative sex, to allow more time for erection
Doctor :  
if these measures do not help you in about a months time, then you will require a physical examination and hormonal tests to make sure that the testosterone levels are fine
Doctor :  
and if they are found to be normal, then you would require a sexologist counselling sessions
User :   r u there doc
User :   between this one month
User :   can i try sex with my gf
User :   if she say anything insulting i will very upset
User :   r u there doc???
User :   pl reply
Doctor :  
yes i am there
Doctor :  
are you able to get what I am typing?
Doctor :  
have you followed what I have said?
User :   sir i received your 4 points
Doctor :  
ok
User :   testosterone levels things
Doctor :  
I gues there was some technical problem on your side that you have not been able to continue the discussion.
User :   about sexologist counseling session on only
User :   yes sir
Doctor :   Can you please share your mobile number and e-mail id so that we may contact you to solve your query over phone? This information will be useful to us in case we need to send you additional information through mail or sms.
User :   continue
User :   +0000, YYYY@YYYY
Doctor :  
is there anything else you would like to ask me?
User :   yes mam send satisfaction form
Doctor :  
sure
Doctor :  
please fill the feedback form
Doctor :  
and say done when done
User :   i filled that
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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