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Erection and ejaculation problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi I have sexual doubt Can ii find a doctor to ask here
User :   HI
User :   hi
User :   hi
User :   I have a sexual question doctor can i ask?
Doctor :   yes please proceed
User :   ok i have fellings and mood in the start of sex and my penis is also strong at that time
Doctor :   ok
User :   but after few minutes of sex penis is not strong
User :   i am not able to concentrate and the pressure is building up weather i am not sexyallu fit?
Doctor :   since when you are having this problem?
User :   its not always but thrice or more in a month i am having this feeling
User :   but it is not alwayss
User :   some times i have a good sex fully completed
Doctor :   please provide your age, height, weight, details f past medical illness and treatment if any.
Doctor :   *of
User :   29 , 5"7 , 73
User :   i have headache coming generally
User :   other than that no problem
Doctor :   at times when you have these episodes, are you preoccupied with stress or thoughts of incompetence at sex?
Doctor :   are you thinking about your performance levels?
User :   yes
Doctor :   once you achieve an erection, how long can you usually sustain it?
User :   that is also true , in the start of sex i have full control and penis strong but after 4,5 minutes my thoughts are getting disturbed and some other thoughts or coming where i am not able to concentrate
Doctor :   if mind is not free at time of intercourse, you will have problems in having satisfied experience and also erection might be lost or premature ejaculation can happen.
Doctor :   as in the intercourse brain plays a major role
User :   i think it is problem with mind only , i generally do Self satisfaction and others i dont find any problem at that time
Doctor :   so if there are deviating thoughts or stress affecting, then your performance also will get affected
Doctor :   as the neural signals for the sexual stimulation will get varied
Doctor :   leading to erection and ejaculation problems
User :   what can i do?
User :   we are planning for childern
Doctor :   first you should leave the thoughts behind once you are prepared to have intercourse. since you are having normal sexual experiences before, it is not a major problem
Doctor :   concentrate on what you are doing, enjoy the intercourse, do not let the brain wander around with stressful thoughts or performance doubts
User :   i dont know some thoughts or some other or coming in mind as a result i am not able to concentrate full
User :   what can i do to reduce those thougths
Doctor :   practice more of foreplay to satisfy your wife, practice 'start and stop' technique to increase erection and ejaculation time
Doctor :   it will also help in concentrating more on the intercourse
User :   ok
Doctor :   practice relaxation techniques like meditation daily, along with having a warm hot water bath to relax yourself
User :   is there any madicine to help in this which will not create other problems
Doctor :   put on soothing music or instrumental music to soothe the atmosphere
Doctor :   no, since this is not a major problem, you can overcome it with the suggestions given above
Doctor :   all you need is confidence in yourself
User :   ok
Doctor :   so do not worry for medication use. you are young, and you can overcome these
Doctor :   you said you are planning to have children
User :   yes
Doctor :   have you had problems in getting your wife conceived?
Doctor :   have tests been done to find out cause behind it?
User :   her last pregnancy was a mis carriage , because baby is having cystic hygroma with spinal deformitity
User :   that is in last year
Doctor :   i would recommend these things to be done: 1) hormonal tests for your wife FSH, LH, Prolactin, TSH
User :   after that she went for abortion because doctors advised us to do so
Doctor :   2) karyotyping f or both of you to find the cause for the cystic hygroma and chances of having repeat
User :   is there any pre medical tests for me and my wife that says we are fit for pregnancy
User :   karyotyping we did for both of us there is no problem as per the report
Doctor :   3) maintaining good diet with zinc supplements in form of multivitamins and green leafy vegetables, beans etc
User :   but other horomonal tests we dont
Doctor :   4) get a semen analysis done for you to make sure you have good quality and quantity of sperms
User :   where they will do these tests
Doctor :   these can be done in any standard labs, you can approach your doctor and request for prescription
User :   ok
User :   we have one more doubt , after her abortion for 4 months she had a regular cycle for 30 days
User :   then we started plaaning for kids and started sex
User :   from then she is having irregular cycles like one is for 40 days , second month it was for 55 days
Doctor :   ok. she will need the hormonal tests and an ultrasound scan to see what is going on and why the cycles have become irregular.
Doctor :   if she is stresses, then this too can affect her cycles
Doctor :   she should relax
User :   ok
User :   what are the other horomonal tests that she should have
Doctor :   as I said earlier she should have FSH, LH, Prolactin, TSH tested'
User :   ok
User :   our karyotyping results says , normal male and female karyotyping
User :   then the chance of having genetic problems in next pregnancy is less only right
Doctor :   ok, then you do not need to worry.
User :   ok doctor thank you
Doctor :   is there anything else I can help you with?
User :   no nothing
Doctor :   thanks for consulting me. bye for now.
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