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Do Excessive Kegel Exercises Cause Erectile Dysfunction?

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Posted on Thu, 5 Nov 2015
Question: i did kegel exercises 2 years ago , but i was doing it 24 hours and i think i did it in a wrong way or something. however , after 5 months of doing it , i got erectile dysfunction. my erection was amazing and it last too much time. now it doesn't even last for few seconds and weak very short pennis . this is now going on with me for 1 year and 9 months. i test all tests and there is no cure for me cuz i don't have any problem as doctors claim. but it is not phsycological because im measuring my erection when i wake up. early morning erection is so weak and small it doesn't even good to insert it in a woman. check my reports

please note , im sure from my all previous tests it is something related to musceles or nervous system not blood. so in case you prefer to consult with another doctors together it will be good idea since my problem is very complicated and it needs a doctor who has physiotherapy back ground to help me i think.
doctor
Answered by Dr. Chintan Solanki (58 minutes later)
Brief Answer:
need to consult orthopedic and urologist, dose of cilalis should be more

Detailed Answer:
Hello,

Thanks for writing to us.

I have seen all reports. You has some infection in past but everything is cleared in latest reports.

Positive finding in MRI compression of S1 nerve root should be evaluated by orthopedic or spine specialist. Nerve supply to penis is originated from this area.

Some enlargement of prostate in one report is there and that is to be evaluated by urologist.

If opinion of both doctors comes non-significant problem would be likely psychological.

Cilais 5 mg is low dose. Actually it can be used up to 40 mg so I suggest going for at least 20 mg before 2 hours of sex. Ask your doctor for prescription.

You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED having hypertension. You may get this medicine over the counter as it is vitamin product. Take it for at least 20 days twice a day after meal and if you feel some improvement continue for 2 months.

You need to stop smoking.

- Is there any difficulty in urinating?

- How is relationship with your partner? Any emotional or social problem is there?

- Are you able to masturbate?

When did you do successful intercourse last?

- Do you pay more attention to erection while trying for intercourse?

- Is there any stress in life?

I will be happy to help you further after your response.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (1 hour later)
- no there is no difficulties in urine , but the rate is not bell shape , it comes vibrated when i do the urine flow test. and for the volume it is not that much perfect even if im using xatral , xatral helps to make the shape close to bell shape but the volume not that much.

- im single so im not married. but i tried to have sex so emotionally is fine , i did hormones test it shows also fine , but still not strong erection for morning wake up, that is where i measure myself.

- yes i do masterbate without erection , i feel i wanna masterbate always but i hate myself when there is no erection. i feel full of sperm when i watch porn movie or something but i don't have erection so most of the time i masterbate without erection.

- successful intercourse was 2 years ago. other than that , it cums in 1 or 2 seconds , yes i used to have premature ejaculation in the past , but i was having good erection. so maybe fast ejaculation for first time but second time it takes 2 min . but for now it doesn't even continue one second.

- no i don't pay attention to erection , but i do when it is not erected after kissing hugging ...etc. so ya i pay attention in that case , but if it get even 40% hard i don't pay attention , i try to push myself to make it errected usually , i always hold my anus muscele to hold my pennis erected. if i don't tight my anus , erection will be very very weak that i can't even insert it to vargina

- there is no stress in my life except this thing if it is solved

and for the enlargment prostate report , there was one report from emirates hospital , and i dont think i have enlargment , i think i have congestion of prostate , that is what i remember from other two urologists they told me
doctor
Answered by Dr. Chintan Solanki (15 hours later)
Brief Answer:
performance anxiety is playing some role

Detailed Answer:
Hello,

Thanks for answers and sorry for delayed response.

Xatral in few cases can affect erection so if not needed now ask your doctor to stop it.

You are not doing regular intercourse as you are not married. You are enjoying masturbation without erection. It seems that while trying for sex you are concerned about erection. Some performance anxiety is likely there.

Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.

To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.

I suggest going for sex with 20 mg cialis and without any apprehension of erection. Make yourself relax , enjoy romance and you will succeed.
Even you can masturbate after taking cialis.

To rule out organic/physical cause in such cases there is one investigation called RIGI scan. In this electrodes are applied on penis and contraction measured overnight. You can ask your doctor if this facility is available there in your country.

Feel free to discuss further.






Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (14 hours later)
No they dont have this test here , i did only doppler and cavarnsgoram
doctor
Answered by Dr. Chintan Solanki (13 hours later)
Brief Answer:
follow previous suggestions

Detailed Answer:
Hello,

Yes I checked doppler and cavarnsgoram reports. No positive finding in reports. RIGI scan help to rule out organic cause. However no need to worry if it is not available there. In my opinion psychological factors are playing role in your problem. You can follow previous suggestions given in last answer after discussing with your doctor and let me know the improvement/progress.


All the best.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Do Excessive Kegel Exercises Cause Erectile Dysfunction?

Brief Answer: need to consult orthopedic and urologist, dose of cilalis should be more Detailed Answer: Hello, Thanks for writing to us. I have seen all reports. You has some infection in past but everything is cleared in latest reports. Positive finding in MRI compression of S1 nerve root should be evaluated by orthopedic or spine specialist. Nerve supply to penis is originated from this area. Some enlargement of prostate in one report is there and that is to be evaluated by urologist. If opinion of both doctors comes non-significant problem would be likely psychological. Cilais 5 mg is low dose. Actually it can be used up to 40 mg so I suggest going for at least 20 mg before 2 hours of sex. Ask your doctor for prescription. You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED having hypertension. You may get this medicine over the counter as it is vitamin product. Take it for at least 20 days twice a day after meal and if you feel some improvement continue for 2 months. You need to stop smoking. - Is there any difficulty in urinating? - How is relationship with your partner? Any emotional or social problem is there? - Are you able to masturbate? When did you do successful intercourse last? - Do you pay more attention to erection while trying for intercourse? - Is there any stress in life? I will be happy to help you further after your response. Regards, Dr.Chintan Solanki.