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Suggest Treatment For Erectile Dysfunction

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Posted on Sat, 10 Dec 2016
Question: Hello Sir,
I am 32 years old Married(2 months back), during Intercourse am facing below problems:
i) Unable to maintain erection for a long time
ii) Unable to Insert & Penetrate
iii) Have desire to do sex and involve in foreplay upto 45 minutes to 75 minutes but unable to penetrate
iv) Semen quantity is low
v) Doctor stated that it is nothing but an Unconsumated Marriage
whats the Treatment for UCM? how long it will take?
Now my query is shall i consume kohinoor goldplus or some combinational supplement..? which one is more effective? if yes means
a) how long should i consume and at what time should i take?
b) During this period shall i consume non vegetarian food?( I don’t have drinking & smoking habits)
c) Is there any side effects?
d) Whats the permanent solution? and Kohinoor goldplus solve all these this problems?
doctor
Answered by Dr. Chintan Solanki (53 minutes later)
Brief Answer:
provide more details

Detailed Answer:
Hello,

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

I get this type of question frequently from newly married couple. After marriage many couples like you suffer from difficulty in sex life. Sometime it will take -3 months to reach to normal sex life. Most of them do not have any physical problem. This happens due to fear or anxiety of either of the partner.

Let me know more so I can guide you further.

- Does erection lose before or after ejaculation?

- How much semen (in terms of ml or tea spoonful) comes out per ejaculation?

- Do you pay more attention to penis/erection while trying for intercourse?

- How is relationship with wife going on apart from sex life?

- How did problem started? Any specific incidence was there?

- Do you have any physical illness?

- Is there any difficulty in urinating?

- Is morning erection present?

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

- I also recommend going for Serum testosterone (total+free) level (morning sample)

I will be happy to help further after your response.

Regards,

Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Chintan Solanki (1 hour later)
- Does erection lose before or after ejaculation?
Ans: Erection lose Before Ejaculation & most importantly mind get diverted while finding the vaginal hole( Unable to find the exact position to insert)

- How much semen (in terms of ml or tea spoonful) comes out per ejaculation?
Ans: 1 Tea spoon

- Do you pay more attention to penis/erection while trying for intercourse?
Ans: Yes, by that time facing difficulty in finding vagina

- How is relationship with wife going on apart from sex life?
Ans: Excellent..Apart from this penetration we don't have any problem & have good understanding between each other

- How did problem started? Any specific incidence was there?
Ans: No such incidence

- Do you have any physical illness?
Ans: No

- Is there any difficulty in urinating?
Ans: No

- Is morning erection present?
Ans: Most of the time have good erection in morning but not on daily basis.

- When did you do your last successful sex/masturbation?
Ans: Today morning had a successful masturbation with full pleasure

- I also recommend going for Serum testosterone (total+free) level (morning sample)
Ans: Plz explain about this test.

Also suggest me whether to consume Kohinoor gold plus & Shilajit
doctor
Answered by Dr. Chintan Solanki (7 hours later)
Brief Answer:
problem is psychological

Detailed Answer:
Hi,

Thanks for clear information.

It is almost clear that you do not have any physical cause for erection problem. It is psychological. You can do masturbation perfectly means you can do sex also.There is no need for serum testosterone level for a while.

Difficulty in finding vagina should be corrected first. Before foreplay, you need to just see your partner's private part anatomy and becomes used to about it. Ask your wife to help about the same. Use proper light while you enjoy sex so you can find vagina easily. With practice you can target it easily. However while finding vagina you should not lose your feeling of romance and excitation.
You have performance anxiety that I want to clarify.

Paying attention to erection leads to performance anxiety. Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. After such failure when person actively thinks about erection or success of intercourse/masturbation, his mind is likely diverted to such thoughts. This is called performance anxiety. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection becomes weak or lost.

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 erection. You must try to enjoy and only enjoy.

You can take kohinoor gold plus for 1 month twice daily after meals. It is herbal supplement so no side effects are there. You can have non veg food during this time. As such your problem is not major so even if you understand and follow my instructions above you can be fine without supplement also.

You can use 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 may get this medicine over the counter as it is vitamin product.You can take one tablet twice daily after meals with kohinoor gold plus.

With above recommendations you can be fine completely in 3-4 weeks. In any case problem persists, let me know on http://bit.ly/drchintansolanki (this is a link to contact me directly by clicking on 'Ask me a question' on same page with three follow up questions).

All the best.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Chintan Solanki (15 hours later)
Thanks alot for your Detailed Explanation sir really i feel good & relaxed.
i) last month used to take sildenafil & one more tablet(Based on doctors prescription) at that time i was suffered severe pain from abdomen to knee & back pain too. so i stopped using that tablet.
ii) Instead of using these tablets shall i take shilajit along with kohinoor gold plus?
iii) Also tell me UNANI medicines are the right choice for sexual problems for both men & women?
doctor
Answered by Dr. Chintan Solanki (7 hours later)
Brief Answer:
yes you can use shilajit

Detailed Answer:
Hi,

Thanks for follow up.

Considering your history I do not think that you need sildenafil. If at all needed tadalafil is good option.

Yes you can take shilajit along with kohinoor gold plus without any problem.

There are no evidence about effectiveness of unani medicines for sex so I cannot be sure that they are the right choice or not but yes they can be used for both men and women.

Feel free to clarify your doubts if any.

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

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Suggest Treatment For Erectile Dysfunction

Brief Answer: provide more details Detailed Answer: Hello, Thanks for writing to us. I can understand your concern. I get this type of question frequently from newly married couple. After marriage many couples like you suffer from difficulty in sex life. Sometime it will take -3 months to reach to normal sex life. Most of them do not have any physical problem. This happens due to fear or anxiety of either of the partner. Let me know more so I can guide you further. - Does erection lose before or after ejaculation? - How much semen (in terms of ml or tea spoonful) comes out per ejaculation? - Do you pay more attention to penis/erection while trying for intercourse? - How is relationship with wife going on apart from sex life? - How did problem started? Any specific incidence was there? - Do you have any physical illness? - Is there any difficulty in urinating? - Is morning erection present? - When did you do your last successful sex/masturbation? - I also recommend going for Serum testosterone (total+free) level (morning sample) I will be happy to help further after your response. Regards, Dr.Chintan Solanki.