Brief Answer:
Psychogenic
erectile dysfunction..just read this
Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this problem.
I think, you have psychogenic erection dysfunction. It happens in number of patients. After
premature ejaculation, this is the second most common
sexual dysfunction in male.
First of all, i want to tell about the basic mechanism that lead good erection. It include sexual thoughts, hormone and good penial circulation. When a person has sexual thoughts in mind, that lead to release of some hormone or chemical in body that increase circulation in penis. This lead to complete erection in penis. In absence of any of one, erection would be incomplete.
I think, it is happening due to underline performance anxiety. May be due to some reason, in one act, you did not get proper erection and since then, you have become more conscious about erection. This has lead to anxiety while every act. Erection mainly depends upon sexual thoughts. If you do not maintain sexual thoughts, you would not get desire erection. Just follow few steps..
1. Increase duration of foreplay. That would increase sexual urge and duration of sex. (Foreplay is also part of sex. Do not under estimate it.)
2. Try to do sex in different position like female on top, lateral position. That would help you to decrease your attention towards erection. In female on top position, your partner would help to seduce you. This variation in position would motivate both of you for sex.
3. Try to do sex in different location at home like while bathing or other location. Sometime people become anxious at particular time. That would help you decrease anxiety.
4. Can also try some drugs like
tadalafil for proper erection or
paroxetine to decrease underline anxiety after consultation of
psychiatrist, that would help you to get erection for longer period, but remember sex does not depend upon drugs. It is a pleasure that you can get any time and any where. You just need thoughts rather than drugs.
5. You can also try
oral sex. That is also one like of sexual act and give to same pleasure as vaginal sex. It would help to give you mental satisfaction and decrease underline stress related to sex.
Try to follow above steps and in case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
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