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Suggest Treatment For Erectile Dysfunction Caused By Performance Anxiety
Question: Hello Doctor,
I am 32 yeard old, I have psychogenic ED, I can get erection by masturbation but I can not get it during sex.
I am physically 100%.
I do not have any past medical illnesses, nor surgeries...even when I do blood and urine tests often, I get perfect results including TSH T3 T4 and others.
For my sexual problem, I have it since the first day of my sexual life.
I have never visited a doctor for that, and prefer to stay away from sexual life and focus on other things.
However, when I be alone I get erected normally, I dont have any problem in my own, erection and ejaculation happens perfectly.
As well as I get early morning erections.
Recently I have been in a relationship. And I want to notice here that during the foreplay I get erected and become enthusiatic to have sex...once I get started to have full sex I lose erection!
My problem is being increased when I be so nervous and stressed...maybe because of the fear of the failure....and usually being increased when I dont feel comfortable in the atmosphere (such as in strip clubs).
I am sure that I dont have any physical or organic problem. I Know that my problem is psychogenic.
That is why I never tried to take medicines like Viagara or others. is that help for phsycogenic ED ? Should I try Viagara or other medicines?
Help me please
Still I dont have an idea how to overcome my problem.
I am 32 yeard old, I have psychogenic ED, I can get erection by masturbation but I can not get it during sex.
I am physically 100%.
I do not have any past medical illnesses, nor surgeries...even when I do blood and urine tests often, I get perfect results including TSH T3 T4 and others.
For my sexual problem, I have it since the first day of my sexual life.
I have never visited a doctor for that, and prefer to stay away from sexual life and focus on other things.
However, when I be alone I get erected normally, I dont have any problem in my own, erection and ejaculation happens perfectly.
As well as I get early morning erections.
Recently I have been in a relationship. And I want to notice here that during the foreplay I get erected and become enthusiatic to have sex...once I get started to have full sex I lose erection!
My problem is being increased when I be so nervous and stressed...maybe because of the fear of the failure....and usually being increased when I dont feel comfortable in the atmosphere (such as in strip clubs).
I am sure that I dont have any physical or organic problem. I Know that my problem is psychogenic.
That is why I never tried to take medicines like Viagara or others. is that help for phsycogenic ED ? Should I try Viagara or other medicines?
Help me please
Still I dont have an idea how to overcome my problem.
Brief Answer:
it is performance anxiety
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us. You have very well narrated your problem.
Your problem is psychological and performance anxiety is playing a big role.
You have normal masturbation and morning erection that means there is no physical problem.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse, 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/ejaculation, erection becomes weak or lost.
Try to enjoy without being conscious about erection or ejaculation.
While doing sex keep yourself relax.
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 ejaculation. You must try to enjoy and only enjoy.
I am sure you can do sex. Practice makes the man perfect. With your partner you will be able to do without any apprehension or in hurry just give yourself sometime. And also note that even if you cannot succeed after few attempts, medicines are there for erection. I think you will not need it. Yes viagra (sildenafil) or tadalafil can help if you cannot overcome anxiety.
5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check-up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
it is performance anxiety
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us. You have very well narrated your problem.
Your problem is psychological and performance anxiety is playing a big role.
You have normal masturbation and morning erection that means there is no physical problem.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse, 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/ejaculation, erection becomes weak or lost.
Try to enjoy without being conscious about erection or ejaculation.
While doing sex keep yourself relax.
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 ejaculation. You must try to enjoy and only enjoy.
I am sure you can do sex. Practice makes the man perfect. With your partner you will be able to do without any apprehension or in hurry just give yourself sometime. And also note that even if you cannot succeed after few attempts, medicines are there for erection. I think you will not need it. Yes viagra (sildenafil) or tadalafil can help if you cannot overcome anxiety.
5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check-up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Dear Dr. Solanki.
Thank you very much for your detailed answer.
I though that 5-PDE medicines help only those patients with organic or physical ED and useless for psychogenic ED patients.
Anyway, I always been afraid to take them.
However, I will try one more time with my partner, but I am not sure that I will overcome the anxiety all over the night. and perhaps I will not have another chance after the second failure.
I have asked another doctor online and he said that I must definitly see a sex theraphist and usually it needs about 8 to 12 sessions, and usually they dont recommend any medicines.
Do these sessions really help?
The problem that this will take very long time. plus they are very expensive in Canada - where I live now . it's about 150$ per session, and that is too much for a new immigrant like me.
I am really confused about my case. I need a direct solution and get rid of this phenomenon forever.
Do you have further information you would share with me here?
Appreciations again.
xxxxxxxxxx
Thank you very much for your detailed answer.
I though that 5-PDE medicines help only those patients with organic or physical ED and useless for psychogenic ED patients.
Anyway, I always been afraid to take them.
However, I will try one more time with my partner, but I am not sure that I will overcome the anxiety all over the night. and perhaps I will not have another chance after the second failure.
I have asked another doctor online and he said that I must definitly see a sex theraphist and usually it needs about 8 to 12 sessions, and usually they dont recommend any medicines.
Do these sessions really help?
The problem that this will take very long time. plus they are very expensive in Canada - where I live now . it's about 150$ per session, and that is too much for a new immigrant like me.
I am really confused about my case. I need a direct solution and get rid of this phenomenon forever.
Do you have further information you would share with me here?
Appreciations again.
xxxxxxxxxx
Brief Answer:
Try sildenafil
Detailed Answer:
Hi,
Thanks for follow up. Sorry for delayed response.
If you have only one chance to prove yourself and maintain relationship, I recommend drug.
If I were your treating doctor I would prescribe sildenafil. You can get success with drug which would make you confident and later on gradully you can try without help of drug.
Sessions can help but I do not think you need them.
Better to consult doctor and get prescription.
All the best.
Try sildenafil
Detailed Answer:
Hi,
Thanks for follow up. Sorry for delayed response.
If you have only one chance to prove yourself and maintain relationship, I recommend drug.
If I were your treating doctor I would prescribe sildenafil. You can get success with drug which would make you confident and later on gradully you can try without help of drug.
Sessions can help but I do not think you need them.
Better to consult doctor and get prescription.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr. Solanki
So Sildenfil you mean Viagara right?
This needs a prescription?
Thank you
Sincerely
xxxxxxxxxxx
So Sildenfil you mean Viagara right?
This needs a prescription?
Thank you
Sincerely
xxxxxxxxxxx
Brief Answer:
Yes it is viagra
Detailed Answer:
Hi XXXXXXX
Yes it means Viagra. In most of the countries it is a prescription drug.
Good luck and wish you good health.
Http://bit.ly/drchintansolanki
Yes it is viagra
Detailed Answer:
Hi XXXXXXX
Yes it means Viagra. In most of the countries it is a prescription drug.
Good luck and wish you good health.
Http://bit.ly/drchintansolanki
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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