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Penile erection doesn't stay for long - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3096 Questions
User :   Dear Sir,
I am 28 year old person with average body type(71 KG, 182 CM Height). I got married 1 month back. I used to masturbate before marriage and my ejaculation was very early after erection. Now I am not able to do sex with my wife. Because i couldn't even penetrate due to lack of hard erection. I feel my libido is very low and very difficult to get erection. If my penis get erected either very soon it will be ejaculated or loos erection. I am requesting you to give me a answer very soon.
User :   Hi
User :   hi
User :   plz give me a advise
User :   Have you noticed problems with erection during masturbation too?
User :   ya
User :   Do you get early morning erections?
User :   Are you able to sustain the erection till ejaculation while masturbation?
User :   Are you there?
User :   Are you there?
User :   Are you there?
User :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
User :   sir plz continue .... I lost my connection thats why
Doctor :   ok
Doctor :   Hi
User :   i am getting morning erection but loosing very soon
User :   Plz tel me doctor
Doctor :   Mr I need to ask some more questions pertaining to your problme to answer you better ?
User :   sure , ask me sir
Doctor :   How much is the time gap between the erection and ejaculation , at least roughly..Is it 30 seconds,45 seconds,1min.?
Doctor :   Or more ?
User :   45 seconds
Doctor :   Ok.
Doctor :   Not to worry, if it is below 30 seconds it is considered very dire.
User :   I don't have Blood Sugar . But BP 151
Doctor :   If it is 45 seconds it can be gradually increased.
Doctor :   Do you consume alcohol?
User :   no sir.. but how can i penetrate if it is not lasting
Doctor :   Do you smoke ?
User :   no sir
Doctor :   Ok.
User :   only in morning erection is much hard.
Doctor :   Let me advise you a step wise pattern for increasing the hardness, time of hardness and time gap between erection and ejaculation.
Doctor :   Please be patient and follow these steps and also note them down.
User :   sure sir
Doctor :   1. FOOD PATTERNS : Doctor :   Take lots of fruits, juices,water and fresh vegetables, dry fruits,lots of honey.
User :   ok
Doctor :   These will increase your libido.
Doctor :   2. EXERCISE PATTERNS : Doctor :   Take a walk or good physical exercise of 45 mins. daily which is very important for stamina and performance.
Doctor :   3. PROPER SLEEP
Doctor :   A good sleep is very esssential for better performance.
User :   ok sir
Doctor :   4. DESTRESS : If you are stresses up and thinking too much about your work or even your problem , you will not perform well.So ease out.
Doctor :   5. PSYCHOLOGICAL : Doctor :   Are you having sex for the first time in your life ?
User :   its first time
Doctor :   When you have been masturbating on whom were your thoughts focussed ?
User :   Naked lady or actress
Doctor :   How was your erection , ejaculation and orgasm at that time ?
User :   some time some prone movies
Doctor :   Ok.
User :   soon after errection
Doctor :   Were you satisfied or were you reaching orgasm after ejaculation ?
User :   will get erection soon and very soon ejaculation
Doctor :   Ok.
Doctor :   Now, you have to understand the concept of orgasm or ejaculation.
Doctor :   This is nothing but psychology and hormones.
User :   plz let me know that sir,
Doctor :   When you get stimulated, your penis gets ercetion.
User :   yes
Doctor :   Then when the stimulation reaches its peak and your brain senses it , a lot of hormones reach their peak level;s in blood like testosterone and then ejaculation happens.
Doctor :   The problem is you sense this peak to fast or rather your brain.
User :   ok
Doctor :   So you need to control your thoughts , gather them and focuss them on something that doesnt cause ejaculation like for eg. God.
Doctor :   This has to be done after or before erection and for sure before ejaculation.
Doctor :   This is how most of the people perform better as it is more psychological than physical.
User :   That is my problem if i am thinking anything like that erection will go away. When i am concentrating to penetrate hardness will go. So i couldn't penetrate yet
Doctor :   For this you require utmost co-operation from your wife.Ask her to help you out and indulge in fore play but think about something else and see how you can delay erection and ejaculation, this is one part of treatment, you need to try very hard for at least 3 months.
Doctor :   Ok.
User :   ok sir
User :   is there any need of using some spray or capsule to keep hardness ?
Doctor :   6.MEDICINES : Doctor :   6.A..Alprostadil has become available in some countries as a topical cream (under the brand name Befar
Doctor :   This can be used half an hour before you start intercourse.
User :   ok
User :   is it available in kerala
Doctor :   6.B..HIMCOLIN GEL is to be applied twice daily once early morning as you get erctions and try for an intercourse then and again in the night before you have intercourse.
User :   ok sir
Doctor :   7. PELVIC EXERCISES : Doctor :   You need to strengthen your pelvic floor muscles .
User :   ok
Doctor :   You need to try to stop urinating and hold it back as if you are preventing from coming out thogh your bladder is full..Got to imitate it.
User :   ok
Doctor :   And also try to imitate as if you are stopping defeacation though it is very forceful.
User :   ok
Doctor :   This is very important exercises.
User :   ok
Doctor :   MAIN DRUGS : Doctor :   Viagra, Levitra, and Cialis all belong to a class of drugs called phosphodiesterase (PDE) inhibitors.tAKE AN HOUR BEFORE BUT WITH DOCTOR'S PRESCRIPTION.
User :   ok
Doctor :   These will help you but you need to get a prescription and you can probably start immediately .
User :   ok sir
Doctor :   Apart from these, if you do not feel satisfied after one month, please reconsult me and i shall advise you the next level of treatment.
User :   sure sir, Thanks a lot .
Doctor :   All the best please follow all the steps and hope you will be successful soon.
User :   ok
Doctor :   Thank you for consulting me, Take care, Bye for now.
User :   Bye
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