Brief Answer:
your problem can be treated with medicines and behavioral approches

Detailed Answer:
Hello Jaheer,

Thanks for writing to me about your problem.

Presence of full erection in morning suggest that you probably do not have any physical problem.Your problem is more psychological.

You do not have firm erection sometime means there is possibility of erectile dysfunction(ED).
You also mentioned that organ doesn't erect for longer time. In this case penis becomes loose before or after ejaculation that matters. If erection does not last longer without ejaculation it is ED and if erection goes away faster with ejaculation it is premature ejaculation(PME).

I also want to inform you about performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex 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, erection would not be possible.

Please provide answers of following questions so I can guide you in right direction.

- From above explanation let me know that do you have only ED or both ED and PME?

- Do you feel that are you having performance anxiety?

- Let me know duration of marriage life.

- Since when are you suffering from erection problem?

- How did the problem started? Any specific incidence?

- What is frequency of sex?

- When did you do your last successful intercourse?

- Do you have any physical illness?

- Is there any disturbance in your relationship?

- Do you have any stress or psychological problem?

- Do you have nay habit of alcohol or smoking? If yes provide more details.

I will be happy to help further after your response.

Regards,

Dr.Chintan Solanki.

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Brief Answer:
no serious problem at all, relax and try you will succeed

Detailed Answer:
Hi XXXX,

Thanks for answers and sorry for delayed response.

Your history clearly suggests that there is no physical problem. You are able to do successful intercourse intermittently and there is performance anxiety also.No alcohol or smoking is there.

To come out of performance anxiety man must not think actively about maintaining erection while doing sex.
To get rid of performance anxiety help of partner is also an important aspect.
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 erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.

If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

So relax your mind and continue efforts as I mentioned for at least one month.

In any case if you do not feel improvement medicines are there to get confidence back.
Option is 5-PDE inhibitor group of drug like sildenafil or tadalafil. You can take it before 2 hours of sex for good erection.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.
After 3-4 successful attempts you will have confidence and you can do without help of medicines later on.

Feel free to discuss further.

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