Hello,

Thank you for posting a query.

Look, your basic problem is anxiety. This anxiety may be about the sexual performance in front of your wife. It may also be due to the erectile dysfunction itself.

But you are not impotent as you get an erection during masturbation.

All you need is self-confidence. Besides, try to talk with your wife as a friend. Be comfortable with her. Take the intercourse as enjoyment not as a performance.

If you are in a stressful job, do some aerobics daily to get rid of stress induced problems. Listen to music.

If these methods fail, then medicines like tramadol should be considered first. If it does not give any result, you have to take sildenafil group of drugs. But, these drugs should be taken under supervision of a doctor. Because it has some side effects.

So, try the simple methods first. If they do not provide any solution, you should consult with urologist, in person for further management.

Hope this information suffices. Let me know if you have any more question.

Regards.

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