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Suggest Treatment For Erectile Dysfunction
Question: Hello doctor
I am away from my wife for the last 10 months and recently I tried to have sex with my girl friend and found I am getting erection when she touches but by the time I take condom. Erection goes down. Also I found I am not getting strong erections. My age is 42. If I masturbate I get erection initially but after sometime it is going down. It is ED ? Can this be psychological ? Please help me
I am away from my wife for the last 10 months and recently I tried to have sex with my girl friend and found I am getting erection when she touches but by the time I take condom. Erection goes down. Also I found I am not getting strong erections. My age is 42. If I masturbate I get erection initially but after sometime it is going down. It is ED ? Can this be psychological ? Please help me. My cholesterol level is normal. I am not diabetes. I feel energetic and last month only I started exercise . My height is 5.10 and I weigh 88
I am away from my wife for the last 10 months and recently I tried to have sex with my girl friend and found I am getting erection when she touches but by the time I take condom. Erection goes down. Also I found I am not getting strong erections. My age is 42. If I masturbate I get erection initially but after sometime it is going down. It is ED ? Can this be psychological ? Please help me
I am away from my wife for the last 10 months and recently I tried to have sex with my girl friend and found I am getting erection when she touches but by the time I take condom. Erection goes down. Also I found I am not getting strong erections. My age is 42. If I masturbate I get erection initially but after sometime it is going down. It is ED ? Can this be psychological ? Please help me. My cholesterol level is normal. I am not diabetes. I feel energetic and last month only I started exercise . My height is 5.10 and I weigh 88
Brief Answer:
Mostly psychological
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us.
After big time gap you have attempted sex that is why you failed. That is mostly psychological.
When erection problem is there for at least 6 months most of the times during sex then only we can stamp diagnosis of ED.
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.
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.
From my side I would like to mention one medicine for you. It is medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.
You are not diabetic that is good.
- How many times you attempt recently?
- Even during masturbation do you pay attention towards erection?
- Do you have blood pressure?
- Are you taking any medicine?
- Is there morning erection present?
- Do you have any problem during urinating? Is there any burning or pain while you urinate?
In conclusion you should avoid performance anxiety as I mentioned and try again.
Revert back to me answers.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Mostly psychological
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us.
After big time gap you have attempted sex that is why you failed. That is mostly psychological.
When erection problem is there for at least 6 months most of the times during sex then only we can stamp diagnosis of ED.
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.
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.
From my side I would like to mention one medicine for you. It is medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.
You are not diabetic that is good.
- How many times you attempt recently?
- Even during masturbation do you pay attention towards erection?
- Do you have blood pressure?
- Are you taking any medicine?
- Is there morning erection present?
- Do you have any problem during urinating? Is there any burning or pain while you urinate?
In conclusion you should avoid performance anxiety as I mentioned and try again.
Revert back to me answers.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I tried to do sex two times recently
I started paying attention during masterbation only when i started noticing this problem
My BP is normal
I am not taking any medicine
If i do masterbation in the night i get an erection in the morning
No problem in urination
I forgot to mention one thing during the last 10 months i was exposed to passive smoking from friends. I never smoke.
During these period i started drinking on every week ends but before i used to take beer once in 3 or 6 months.
Anyway thanks doctor , if you have any comments and suggestions please guide me. I will try as per your suggestion and revert back to you with result.
I started paying attention during masterbation only when i started noticing this problem
My BP is normal
I am not taking any medicine
If i do masterbation in the night i get an erection in the morning
No problem in urination
I forgot to mention one thing during the last 10 months i was exposed to passive smoking from friends. I never smoke.
During these period i started drinking on every week ends but before i used to take beer once in 3 or 6 months.
Anyway thanks doctor , if you have any comments and suggestions please guide me. I will try as per your suggestion and revert back to you with result.
Brief Answer:
no physical problem, try without apprehension
Detailed Answer:
Hi,
Thanks for information.Your history suggests that there is no physical problem.
As such passive smoking does not affect much.
Alcohol occasionally is also fine but regular alcohol intake is not recommended.
In your case psychological factors are playing role. After 10 months you attempted sex and that is with also new partner and you did not succeed. This is not ED. Ut is completely situational and circumstantial. Do not be apprehensive from this failure. Try to enjoy foreplay and do the sex without thoughts of erection, you will succeed soon.
Even after above measures you cannot succeed, another option is 5-PDE inhibitor group of drug like sildenafil or tadalafil. You can take it before 2 hours of sex for good erection. After 3-4 successful attempts you will have confidence and you can do without help of medicines later on.
All the best.
no physical problem, try without apprehension
Detailed Answer:
Hi,
Thanks for information.Your history suggests that there is no physical problem.
As such passive smoking does not affect much.
Alcohol occasionally is also fine but regular alcohol intake is not recommended.
In your case psychological factors are playing role. After 10 months you attempted sex and that is with also new partner and you did not succeed. This is not ED. Ut is completely situational and circumstantial. Do not be apprehensive from this failure. Try to enjoy foreplay and do the sex without thoughts of erection, you will succeed soon.
Even after above measures you cannot succeed, another option is 5-PDE inhibitor group of drug like sildenafil or tadalafil. You can take it before 2 hours of sex for good erection. After 3-4 successful attempts you will have confidence and you can do without help of medicines later on.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much doctor let me try and tell you. I will try without last said medicine
Brief Answer:
all the best
Detailed Answer:
Hope for the best. You will be able to do without medicine.
If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
XXXX
by clicking on 'Ask me a question' on same page.
Take care.
all the best
Detailed Answer:
Hope for the best. You will be able to do without medicine.
If still any query there, I will be happy to answer. If not, you can close the discussion and if feasible give your feedback and rating so I can improve my service. In future you can contact me directly on this site if you wish with this link:
XXXX
by clicking on 'Ask me a question' on same page.
Take care.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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