HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Does Stress And Anxiety Cause Difficulty In Maintaining An Erection?

default
Posted on Tue, 10 Feb 2015
Question: i Doctor , I fear I might be hit by erectile dysfunction .
The reason behind the fear is described below . Please help me with your suggestions.
I am 32 years old. I got a girl friend an year ago. This was the first time I have got a girl friend in my life.
We have slept together nude for around 10 to 15 times.

1. The very first time when we got together i tried with her on top position and i remember my penis never got up and
I can say that I was not relaxed , I was over exited and since I was in her house I was not feeling secured.


2. Then after some months we again go a chance again , this time I we were in a hotel room I was on fire so was she
Mine was errect but when i tried to insert this time the missionary postion , it was not going in and she said it was
hurting and soon after then as i kept trying hoping that once it goes in it wouldn't hurt , i lost the erection .
It softened. Then I just did foreplay even though I was sexually aroused.

3. Recently , few weeks ago we stayed together for a week and we had all the time in the world and were absolutely
relaxed. It became hard and tried both missionary as well as her on top position and it was not going in . Sometimes
she says it hurts and sometimes I keep pushing and the head of the penis goes in till a certain level
and I feel the pain because of the foreskin on the penis head had gone way behind till the point where the complete penis
head is visible and after a while I loose erection. This time I don't know whether the pain was because of my foreskin
being pulled back a lot and that did not allow me to enjoy the erection and resulting in loosing the erection or
did I not find correct XXXXXXX during penetration.


4. Interestingly during our stay together , one fine morning as we woke up my penis was semi erect , I think.
And tried to insert and luckily i got the right hole and it just slipped in smoothly and once it slipped in
kept it hard cautiously and reached the climax successfully. Only this time i was able to penetrate successfully without
any pain and she too enjoyed the intercouse.


5.I know when I was in early 20's I used to have a rock solid erection automatically when i get sexually aroused .
Now, during the above situations the XXXXXXX erection level or hardness has been 10 to 15 % less compared to
what I used to get in my early 20's .

Doctor, I know it has been a lengthy description. Kindly bare with me and tell whether am i suffering from erectile dysfunction.

doctor
Answered by Dr. Chintan Solanki (59 minutes later)
Brief Answer:
No you are absolutely fine, not at all erectile dysfunction(ED)

Detailed Answer:
Hello,
Thanks for writing to us.

I read your description with each details.

You are absolutely fine and not all suffering from erectile dysfunction.

Note the following explanation in regard to your above mentioned situations:

1.You already mentioned that you were not relax. Being at her home naturally causes some anxiety and led to performance failure. It is normal phenomenon.

2.When any couple goes for sex first time, some problem occurs in most of the cases. As she might have her first experience of sex, she was going to suffer pain psychologically as well as physically. Erection of penis requires excitement in mind.In efforts to enter in to vagina your mind diverted to that thing, lost feeling of excitement /romance and erection lost. That is also normal. No need to worry.

3.During your stay for a week you were leaning and trying for success. When you think actively about penetration and successful performance about sex, naturally you lost excitement of sex and become conscious regarding your performance. This may lead to failure.It happens to most of the couple. In sex, "Experience makes the man perfect" is true.Initially many males feel pain during intercourse due to stretching of foreskin. But once it gets adapted to the technique it does not pain. I usually recommend new couple to use condom.it prevents STD, as a contraception as well as help in pain issue.

4. Miracle happened. That happened due to your relax and unpredictable attempt. In morning you both were relax and even did not think about sex. You just tried and it succeeded. You both were not thinking about success but you just wanted to enjoy, that is why you succeeded.Just think that without apprehension of performance you can do sex easily. Don't think just enjoy.

5.It is natural phenomenon that initially when boy becomes man erection occurs automatically on sexual arousal. As age progresses threshold for arousal decreases. Penis can not get totally erected with the same stimuli.

15-20% less size ok. It might be your perception or may be true. As in 20's it was due to masturbation and penis was in your hand while currently it is in vagina. So relative perception makes you feel that size has decreased. But point to be noted is 3-4 inches erect penis is sufficient to satisfy female. Only 1/3rd anterior vaginal wall have receptors foe sex.Just relax , no need to worry regarding size.

In conclusion you are normal, continue your sex life. "Experience is the best teacher".Use condom always if feasible.

Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly if you wish with this link: http://bit.ly/drchintansolanki
Regards,
Dr.Chintan Solanki.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Chintan Solanki (13 hours later)
Hi doctor ,Thank You for reading my points patiently and giving your answers.

1. I would like to mention few more things here. when I stayed with my girl for a week the I get sexually aroused and erect initially while going to bed and then sometime around when we are just awake in the morning. The question here is
I am not getting sexually around frequently when i am with her is it because I am used to seeing her bare body plenty of times and its not exiting anymore ? Is this also normal ?

2. I have read in health forums that the inability to maintain erection or insufficient erection is also ED . I am not able to maintain erection according to the above mentioned situations . Doesn't this sound like ED ?
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
No ED


Hello,

Thanks for follow up.

1. You are getting erection frequently. This suggests your physiological system is working properly.
When you repeatedly exposed to same sexual stimuli, some threshold occurs to the same. You may not get erection just by seeing her or being with her. She may need to do some erotic gestures or activity to excite you.But it is not like that you may not have good sex with same partner. Foreplay is most important part in couple. It make both excited and prepare for actual intercourse.So you are passing through normal phase.Just use different foreplay measures.

2.ED is called when person is not able to erect sufficiently to enter in to vagina most of the time.According to diagnostic criteria at least 75% attempts must be failed due to no erection or maintaining erection. It is not the case with you.
You fail sometime due to your over concern and anxiety regarding your performance. You just need a detail counseling in personal by a psychiatrist if you still can not believe my opinion. Otherwise you are absolutely fine according to me and from available history given by you..

Hope you find the answer helpful. Feel free to ask if still any query.

Regards,
Dr.Chintan Solanki.



Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Chintan Solanki (2 hours later)
Thanks Doctor, I understand what your are saying but there is a small correction.
Nowhere have i mentioned that i am getting erection frequently . I have mentioned that i get erection "initially"...... Could you please read my first follow up once again and let me know your opinion. Thanks once again for all your efforts in helping me in this.
doctor
Answered by Dr. Chintan Solanki (7 hours later)
Brief Answer:
Ok.Read detail answer please

Detailed Answer:
Hi,

Your sentence," I would like to mention few more things here. when I stayed with my girl for a week the I get sexually aroused and erect initially while going to bed and then sometime around when we are just awake in the morning", suggests you get erection. That is why I mentioned you are getting erection frequently.

"Erect initially" seems to have two meanings.

1. You get erection initially when you go for sex but not able to maintain when you proceed further.
I have already clarified that it is likely occurring due to your over concern about being successful or not.

2.You were able to get erection initially with your girlfriend but not later on not.
This also I have probably clarified. It happens to most of the men. After staying and passing time with girlfriend , you may get adapted with her. You may not have same erection with the same stimuli which was able to make you erect initially easily. She has to change her approach to make you arouse.
If you stay away from her for some duration(say 2 weeks without meeting her) you may have erection easily like before.
It is completely normal. No abnormality.

Hope I am able to clear your doubts.

If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service.
In future you can contact me directly if you wish with this link: http://bit.ly/drchintansolanki

Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Does Stress And Anxiety Cause Difficulty In Maintaining An Erection?

Brief Answer: No you are absolutely fine, not at all erectile dysfunction(ED) Detailed Answer: Hello, Thanks for writing to us. I read your description with each details. You are absolutely fine and not all suffering from erectile dysfunction. Note the following explanation in regard to your above mentioned situations: 1.You already mentioned that you were not relax. Being at her home naturally causes some anxiety and led to performance failure. It is normal phenomenon. 2.When any couple goes for sex first time, some problem occurs in most of the cases. As she might have her first experience of sex, she was going to suffer pain psychologically as well as physically. Erection of penis requires excitement in mind.In efforts to enter in to vagina your mind diverted to that thing, lost feeling of excitement /romance and erection lost. That is also normal. No need to worry. 3.During your stay for a week you were leaning and trying for success. When you think actively about penetration and successful performance about sex, naturally you lost excitement of sex and become conscious regarding your performance. This may lead to failure.It happens to most of the couple. In sex, "Experience makes the man perfect" is true.Initially many males feel pain during intercourse due to stretching of foreskin. But once it gets adapted to the technique it does not pain. I usually recommend new couple to use condom.it prevents STD, as a contraception as well as help in pain issue. 4. Miracle happened. That happened due to your relax and unpredictable attempt. In morning you both were relax and even did not think about sex. You just tried and it succeeded. You both were not thinking about success but you just wanted to enjoy, that is why you succeeded.Just think that without apprehension of performance you can do sex easily. Don't think just enjoy. 5.It is natural phenomenon that initially when boy becomes man erection occurs automatically on sexual arousal. As age progresses threshold for arousal decreases. Penis can not get totally erected with the same stimuli. 15-20% less size ok. It might be your perception or may be true. As in 20's it was due to masturbation and penis was in your hand while currently it is in vagina. So relative perception makes you feel that size has decreased. But point to be noted is 3-4 inches erect penis is sufficient to satisfy female. Only 1/3rd anterior vaginal wall have receptors foe sex.Just relax , no need to worry regarding size. In conclusion you are normal, continue your sex life. "Experience is the best teacher".Use condom always if feasible. Hope I have answered your query. If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback so I can improve service. In future you can contact me directly if you wish with this link: http://bit.ly/drchintansolanki Regards, Dr.Chintan Solanki.