Brief Answer:
please clarify your query

Detailed Answer:
Hi XXXX,

Thanks for writing to us. I can understand your concern.

You have some erection problem. If your erection loses before ejaculation it is erectile dysfunction and if it loses early after ejaculation it is premature ejaculation. Please clarify what is exactly your problem?

- Since when are you suffering from erection problem?

- How did the problem started? Any specific incidence?

- What is frequency of sex/masturbation?

- When did you do your last successful intercourse/masturbation?

- Do you have any physical illness?

- Is there any disturbance in your relationship?

- Do you have any stress or psychological problem?

- Is morning erection present?

- Do you have any 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:
2 weeks is not significant duration

Detailed Answer:
Hi,

Thanks for information and sorry for delayed response.

Two weeks duration is not sufficient to diagnose problem as it can occur normally.

I want to define two diagnosis to explain my question to you.

According to the latest diagnostic criteria by DSM 5, premature ejaculation should be defined when there is ejaculation within one minute after entering tin to vagina or even before penetration.

According to DSM - 5 definition, Erectile dysfunction (ED) can be diagnosed when person fails most of the time (say more than 50%) in last 6 months during intercourse.

I just need to know that you lose erection after ejaculation of semen or before ejaculation.

Morning erection means penis felt erect when man wakes up in the morning. This is a natural phenomenon as bladder is full of urine in morning and penis becomes erect many times. If this is happening there is almost no chance of physical problem.

Also let me know about your thyroid problem - is it low thyroid or high thyroid? Are you taking any treatment for the same?

Business tension is affecting your sex life? As some time stress also leads to erection problem.

I also want to explain about performance anxiety. Please let me know do you feel that you have 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/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.

Now try your best to give answers so I can guide you further.

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