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Erectile dysfunction, normal erection during masturbation. Treatment?

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Practicing since : 2002
Answered : 2396 Questions
I'm 40 ht.5.8' wt69kg having 3 kids also. my partner is not much interested in intercourse [rarely 1 in a month]whenever i m having sex with her/any one else i need her help to insert the penis by force with her fingers and never get the ability to do it myself. And many cases the erection is lost or not enough. But once it is in i could do it.Is it an ED case that needed treatment? [masturbation dont have an erection problem!]my bp is 120-130&80-90 very much reluctant to go to any other girls because of this?
while erection my penis is bend towards right. Is it normal? Do i need to take any steps in correcting my troubles...plz advice
Posted Fri, 13 Apr 2012 in Erectile Dysfunction
Answered by Dr. Robert Galamaga 17 minutes later
Hello and thank you for your query.

This could certainly be a variant of erectile dysfunction. It seems like your health is very good - good blood pressure and good height and weight proportion. Additional factors which may affect erectile function include hormonal balance (testosterone level) as well as mental health or drugs/medications.

As for the hormonal issue, it is possible you may have a low level of testosterone. A simple blood test drawn by your doctor can help rule this out. As for mental health - anxiety and depression can influence erectile function quite significantly. Adequate sleep is very important - make sure you get a good 7 or 8 hours of uninterrupted sleep nightly. If you are under some stress - focus on things that help relieve stress such as exercise and positive interactions with friends and family. Alcohol and drugs may affect erectile function as well. Finally, depending on how often one masturbates, the rigidity of the erection may be affected. Consider abstaining from masturbation for a period of time to see if this improves your sexual function with your partner.

As for the bending rightwards - this is not uncommon and is not a concern for your sexual health.

I hope I have adequately answered your concern. I am available for your followups.
Above answer was peer-reviewed by
Follow-up: Erectile dysfunction, normal erection during masturbation. Treatment? 24 hours later
Eventhough I,m 40 looks younger! No smoking and alcohol. hairy / medium muscular body. I think this may rule out having a low level of testosterone. occasionally doing exercises and relaxing techniques while facing stresses.
did even anal with a g/f 2-3 times in life but only with the help of fingers and insertion success level was not so high and succeeded after a long effort.
What i noticed was, I'm getting erection while the partner squeezes/sucks my nipples! i think even oral[which my wife never do] has the same effect. But my partner will have to keep her thiughs together once the tool got inserted. if she kept it widely open then chance of getting the tool out is much!
i couldn't do intercourse with a couple of ones just because the penis didnt succeded in penetrating[or even not aroused] them. i m always doing ample foreplays.. Sooo where the missing key lies???
is there any relation between child producing capasity and erectile dysfunction?
Answered by Dr. Robert Galamaga 9 hours later
Hello and thanks for your followup.

To answer your one question - child producing capacity or fertility is not related to erectile function unless you are not able to ejaculate so in your case child producing capacity does not appear to be a concern.

Regarding testosterone - we cannot dismiss it completely as a possible contributing factor unless it is tested in a laboratory.

If you are finding you are not able to achieve firm erections enough to penetrate and enjoy sex and things such as testosterone deficit are ruled out and other factors like anxiety and stress are ruled out (sounds like you are quite mentally and physically healthy) then we may approach this as an erectile dysfunction which could respond quite well to medication.

Your doctor may consider a trial of medication such as sildenafil (Viagra name brand). These meds basically increase blood flow to the penis in response to stimulation and may provide you with a viable option to help improve the quality of your sex life.

Again I hope this information is adequate and helpful. I am here for followup if you need. I wish you all the best and good health.
Above answer was peer-reviewed by
Follow-up: Erectile dysfunction, normal erection during masturbation. Treatment? 2 hours later
but doctor in my case the problem lies only in the entry part. once entered its ok..So is it a clear case of erectile dysfunction?
And whom should i see for a testosterone test?
And viagra has side effects leads to serious heart problems and it is not a permanent remedy....right?
Answered by Dr. Robert Galamaga 19 minutes later
Hello again,
A general physician should be able to request this test and interpret the results of the testosterone levels. Your case is unique and not necessarily a clear case of ED in that you are able to continue and enjoy intercourse but have trouble in the entry part. Perhaps it is more of an issue of achieving adequate stimulation before proceeding to entry especially since you say you have no issues during masturbation. Perhaps also - doing the things that excite and stimulate you most just prior to intercourse will help make the issue less frequent. Your partner should be playing a role in this as well - helping you achieve maximum stimulation during sex - I trust you have discussed all of these concerns with your partner.

Finally - yes Viagra has some side effects but is not regarded as a XXXXXXX drug. It has been used by millions of men with good results. I don't think Viagra is indicated at this time and i would advise you focus more on the stimulation issues and testosterone level testing first and then go from there.
I wish you all the best and continued good health.
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