HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Erectile Dysfunction

default
Posted on Tue, 21 Jun 2016
Question: penis not getting erection during intercourse

age was 26
married 1 year back.
3-5 times tried relationship .but no erection.

then I used siledenfil citrate and have intercourse 6-10 times.
no pregnancy.

one more thing
my wife doesn't love.
during intercourse my wife avoid kissing on mouth and chik
moreover inserting finger /mouth in vagina also doesn't like her.

she loves one guy and her parents forcefully married to me.
I gave one year time for her to change and explained all .
we need a baby to move a life

now a days I ate cashews,promgranate juce and honey
my wife ovalution was 30.we had relation ship on 30 april and may 1.

today also we are trying to have relationship
she didn't love me

doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
performance anxiety is playing role

Detailed Answer:
Hello,

Thanks for writing to us again. I am aware about your case. For any successful sexual relationship intimacy and romance between two partners are needed and that is lacking in your case. This is the reason for your failure and lack of erection. Without stimulation erection is not possible.

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/masturbation 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.
Sildenafil helps in this case but ultimate solution is active involvement of your wife in relationship. This can be done with couple sex counselling.

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
doctor
default
Follow up: Dr. Chintan Solanki (9 minutes later)
I would like to follow up with you. but there is no possible of follow up after rated.
luckily u came in again.

thanks for your speedy response .
You aware of all issues.

last year onwards I stressed more and no masturbaration for one year.
now my stress keep on increasing .
sterday also we hav possibility to have sex.But she s asking again divorce .I adviced 4 hrs full night.

any food activity I need to change for this.
my wife told she will be like this.she wont change.


as per your earlier conversation,i have to sacrife my romance life.
our marriage was done with around 2000 people and its highly celebrated.
I cant go divorce at any cost.

still we need a baby to change our life.
am having only some days chance to intercourse and I cant take risk on those days without viagara

Please advice

as you are psycatrics vat need to make my wife to change as lovablke wifw.

I have tried a lot
nothing work out.

01 may relationship she gave following condition.

avoid kissing on mouth and chik
moreover inserting finger /mouth in vagina also doesn't like her.

both was not happy and satisfied.
she s telling am not havinf sense of humour person.
ofcourse becao of her issue and continuous hurting am dull and sense of humour died




doctor
Answered by Dr. Chintan Solanki (3 hours later)
Brief Answer:
you canuse sildenafil (viagra) for pregnancy

Detailed Answer:
Hello,

Thanks for follow up.

I can give some comments for changing her after only taking her interview only. Sorry for that limitation from my side.

If she is ready for pregnancy, you can go ahead. For erection you can take Viagra before sex, it will help in erection, proper deep penetration and ejaculating semen deep in to cervix. Sildenafil does not affect sperm count so no need to worry. You just need to tell your wife that she has to stimulate you in some way. If she does not agree, you can try to do it by thinking some erotic moments, movies or actresses you like and sildenafil will work after initial stimulation.

Your wife should also note some points.
To become pregnant female should remain in supine (lying down/sleeping) position for at least an hour (preferably whole night) after successful intercourse so sperms can reach deep in to cervix or uterus. After successful ejaculation in vagina she should raise her legs with help of support or just bent her legs in the way that her knees touch to her breasts. This position for an hour will help sperm to reach deep in to cervix and increases chances of pregnancy.

You seem to be depressed and that also can be reason for your erection problem. I want to evaluate this aspect also.
- Sad mood, lack of interest in routine/pleasurable activities, weeping/crying spells, hopelessness, reduce appetite, excessive fatigue or weakness, lack of concentration, sleep disturbances, death wishes, suicidal ideas : among these symptoms which are there in your case and since when? Please narrate briefly.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (16 hours later)
Dear

Almost she s changing according to my home like washing my cloth ,cooking.
but during sex in bed as usual.
closing eyes, never do anything .But she need a baby to make our parents happy as per her statement

she s lying in bed solidly 10-15 mins.is it enough????
As earlier conversation +-2 days ovalution before and after we had sex

out of 5 days we had sex for 3 days
by the way as per another Doctor ovalution after 5 days we had sex and there is a chance of pregnanacy.

also my wife saying she doesn't feel anything.(semen goes inside or not)
after sex my sperm spread on bed.
but I inserted my penis and am ejaculated.
how to confirm????

finallly about me am fully depressed

hopelessness and like hyper tension
am lose my self confidence and courage

I am living just like that







doctor
Answered by Dr. Chintan Solanki (20 hours later)
Brief Answer:
in my knowledge +/- 2 days appropriate

Detailed Answer:
Hi,

Extremely sorry for delayed response.

She should lie in bad for at least half an hour. Preferably she should urinate before going to bed, have a sex and then she can spent whole night in bed.

Sperms can remain alive in cervix maximum up to 5 days while ovum remains alive for two days after reaching to uterus. This normal physiology clarifies why +/- 2 days are appropriate to have sex for pregnancy.


You must ejaculate when your penis is deep inside her vagina. This leads to ejaculation in cervix. You can confirm when you feel orgasm and your penis is in vagina. Female can feel when there is ejaculation. After that she does not feel that semen/sperms are moving inside.

You seem to be in depression. For confirmation of diagnosis detail history and mental status examination are required to be done by a psychiatrist. I recommend consulting psychiatrist for you also. If needed depression can be treated with psychotherapy or/and medicines.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (1 hour later)
am sure my penis was deep inside and I ejaculated.
Hope penis must be inserted in vagina only......

she told we doesnt join i.e..ejaculation was not deep inside.
when I check outside the bed,sperms are falls on bed tooo...

she s having next period on may 14 as per cycle...
shall we sex today/tomorrow like this days???


if my wife was happy with me I will became normal.
no need of any mental statutus examination.


doctor
Answered by Dr. Chintan Solanki (2 hours later)
Brief Answer:
if you are sure , wait for her next period

Detailed Answer:
Hi,

If you are sure that ejaculation was deep inside, just wait for her next period. If she will have miss period, pregnancy is there otherwise again attempt next month.

Yes you should go for sex today and tomorrow also as I mentioned.

Yes you are right that if your wife changes, you will be happier person. Wish you good luck for the same.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (47 minutes later)
she told we doesnt join i.e..ejaculation was not deep inside.
when I check outside the bed,sperms are falls on bed tooo...

can u explain on above??
sterday also she told sleepy mode and no need of sex.
doctor
Answered by Dr. Chintan Solanki (4 hours later)
Brief Answer:
4 possibilities are there

Detailed Answer:
Hello,

There can be 4 possibilities.

1. You ejaculate inside but some of semen came out on the bed when you withdrew your penis.

2. You ejaculated inside but she changed her position and semen came out due to gravity.

3. You ejaculated inside and precum (fluid before ejaculation) or post ejaculation fluid came out on bed.

4. You did not ejaculate inside and when you withdrew your penis semen came out on bed.

Now wait for her menses. If it missed you are lucky, if it comes contact me with date of menses on http://bit.ly/drchintansolnki so I can guide you further about next fertile days.

All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (1 hour later)
Noted
doctor
Answered by Dr. Chintan Solanki (8 minutes later)
Brief Answer:
welcome

Detailed Answer:
Welcome and all the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (17 hours later)
In the four possibilities hope all the have chance of pregnancy

I don kno vat happenss
Becoz my wife off allmthe light

Approximately only we are having sex
Pls tell te precebtage of peegnanacy chance of 4 options
doctor
Answered by Dr. Chintan Solanki (6 hours later)
Brief Answer:
chances of pregnancy are there except in last

Detailed Answer:
Hello,

Chances are very high(70-80%) of pregnancy in 3rd possibility, good chances(50-60% in first possibility , few chance(20-30%) in second possibility and no chance in fourth possibility I mentioned in previous answer.

Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Chintan Solanki (15 hours later)
Thx for ur speedy response sir
My wife next period was 14 th may + or - 1 day

Is thr anyway to find the pregnancy rather than missing period
doctor
Answered by Dr. Chintan Solanki (3 hours later)
Brief Answer:
pregnancy can be detected only after missed period

Detailed Answer:
Hi,

Pregnancy can only detected after missed period (when menses does not come at expected time it is called missed period) . Urine pregnancy test (UPD) can be done easily at home. One can go for UPT after 2 days of missed period. There some blood test which may predict pregnancy but for that frequent blood testing required and it cannot predict always. That is why it is not used routinely.

If by chance next period comes , let me know exact date so I can inform you possible fertile period in next cycle.

Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Chintan Solanki (27 hours later)
I used saliva in my penis head as lubricant
It will impact on sperm to avoid pregnanacy

Am not aware
Pls advice
Thx
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
saliva affects sperm motility

Detailed Answer:
Hello,

Thanks for an interesting question.

Saliva affects sperms up to some extent. It reduces sperm motility and can cause death of 5-10% sperms. These are researched based finding when semen is mixed with saliva.

However it does not mean that it affects pregnancy completely. When you use saliva as a lubricant it is not necessary that saliva is mixed up with semen. Semen may be expelled directly in deep vagina or cervix without any or with very less saliva.

Hope you have got the answer.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (14 hours later)
Saliva was outside the penis only
During ejaculation ,deep pennetration there is no posssobliry of conatct between sperm abs vagina
Since there is an orgasm

I read un net other than missed period ,blaotunf ,,more urination ,more pressure need to inhibit ,taste differs ,many thjngs

But my wife said i didnt reliE
doctor
Answered by Dr. Chintan Solanki (23 minutes later)
Brief Answer:
please clarify your query

Detailed Answer:
Hi,

Thanks for follow up.

I did not get your point ,"I read un net other than missed period ,blaotunf ,,more urination ,more pressure need to inhibit ,taste differs ,many thjngs ''. Please clarify your query that what do you want to know.

I will be happy to help further after your response.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (18 minutes later)
Saliva was

I read in internet that

extremely tries
short of breath
tender & swollen breast
head ache
back pain
frequent urination
nausea
cravings are other symptoms rather than missed period.

hope saliva was not major issue on my case

is it true

http://bit.ly/drchintansolnki

this one is not working
kindly confirm
doctor
Answered by Dr. Chintan Solanki (10 hours later)
Brief Answer:
these all symptoms occur after missed period

Detailed Answer:
Hi,

Thanks for clarification.

Symptoms you mentioned are seen in pregnancy but all of them occur in first trimester after missed period. Missed period is the indication for pregnancy.

Hope saliva would not be major issue in your case.

There is spelling mistake in above link. Please use below link.


http://bit.ly/drchintansolanki

You can ask me directly with this link and three follow up questions are there.

take care.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Erectile Dysfunction

Brief Answer: performance anxiety is playing role Detailed Answer: Hello, Thanks for writing to us again. I am aware about your case. For any successful sexual relationship intimacy and romance between two partners are needed and that is lacking in your case. This is the reason for your failure and lack of erection. Without stimulation erection is not possible. 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/masturbation 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. Sildenafil helps in this case but ultimate solution is active involvement of your wife in relationship. This can be done with couple sex counselling. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.