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Have problem in getting proper erection, happens randomly. How to resolve it?

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Practicing since : 1999
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I am XXXXXXX M33, Married for 4 years.
I am experiencing problems in getting an erection properly. I am facing this problem for the past couple of months. The problem is random and has no patterns. Other times, I have a normal erection, during sexual intercourse I experience climax I see no problems in ejaculation.
Request you to help me resolve my problem.
Posted Fri, 28 Sep 2012 in Men Sexual Problems
Answered by Dr. A. CHAKRAVARTHY 15 hours later

Erectile dysfunction can be caused by two major causes.

1. Physical - Due to physical factors like hormonal deficiency, obesity, smoking, Diabetes, DEPRESSION & other PSYCHIATRIC Problems etc.

2. Psychological - Most common at your age; Stress, Performance anxiety, guilt about any other sexual activity can contribute to this.

Any physical ailments can decrease the libido as well as alterations in related hormones.

I would suggest the following:

1. Penile Doppler study to rule out any vascular defects, Nocturnal Penile tumescence (NPT) test,

2. Check Testosterone, Luteinizing hormone (LH), Prolactin, and Thyroid hormone levels

3. Alteration of psychiatric medications which cause sexual problems, consult with your psychiatrist

4. Involve yourself in anti stress activities like meditation, yoga and pranayama.

5. If these do not help, you can take Phosphodiesterase inhibitors like tadalafil can boost your confidence for erectile dysfunction. These are prescription drugs and I would suggest you see your physician for the same.

6. Sex Therapy: Sex Therapy is an effective method of desensitizing fear or performance anxiety. Sex Therapy can be provided by a Sexual Medicine consultant or Sex Therapist. Consider visiting at your location.

I hope I have addressed your concerns in detail. Still, I would be available for follow ups.

Wish you healthy sexual life

Consultant in Reproductive & Sexual Medicine
"great sex.happy life"
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