Hello,
Welcome to HCM,
As your wife is not getting pregnant for 2 years, please get your semen examined after abstinence for 7 days. If your semen report is normal, get your wife examined by a Gynaecologist. If your semen report is not normal, you should take treatment accordingly or if your wife's reports are abnormal, get her treatment accordingly. Get your self tested for blood sugar also. Do regular exercise to reduce your obesity. You can use Ovulation Prediction kits to know the ovulation day of your wife. You should do intercourse only during ovulation day & a few days thereafter and avoid sex during remaining days. This abstinence will increase erectile power & quality of semen. Drugs are also available to increase erectile strength.
I hope you will find this information useful.
Wish you good health,

Hello Pushparaj,

Thank you for submitting your query.

Your History suggests you are suffering from Erectile Dysfunction which is common in Oveweight and Obese Individuals. I would recommend you to get yourself examined by a competent Physician who after a thorough examination will suggest a Blood work up to rule out Diabetes and Hypertension.

In the Interim, eat healthy balanced diet which should include fresh fruits and green leafy vegetables. Exercise regularly and maintain a healthy weight.

You and your wife should get examined by a Gynecologist to to rule out any Infertility issues. Your Semen Analysis needs to be done.

Hope this answers your query.

Good Luck.

Regards,
Dr. Mohammed Tauseef.

Hello,
Thanks for your query.
Masturbation does not have any ill-effects on sexual function later on in life.
You should get a semen analysis done to see if that is the cause of infertility.
You can consult your local urologist who can advise you some medication for the erectile dysfunction.

I hope i have answered your query.
Thanks
Dr Vineet Malhotra

Obesity,
High blood pressure,
Diabetes uncontroled,
Pressure on nerves( sacral plexus) due to any cause,
Hypercholestrolemia
are all these causes of poor erection.
In addition to these no good hormony between the two partners is another reason.
If you correct all these factors your problem will be solved.

Hi
In the common form of weak erection, a man can't reach sustain strong erection during sexual intercourse — but can maintain the same with oral or manual stimulation of the penis. Some men can maintain strong erection only when masturbating. Masturbation results in rough stimulation of penis which is not the same while having sex. I don't see anything other than psychological reason as the cause with this.

I would suggest you to communicate openly and honestly with your partner about your condition. Treatment is often more successful if couples work together as a team.
Generally, you can have strong erection by self-masturbation and maybe through love play, but not through intercourse.
So I will encourage you and your partner to gradually proceed to a situation where she can perform oral sex or masturbate you, and eventually go on from there to a more 'advanced' situation where you are able to cope with erection inside her.

Another effective therapy:
first, the you can go through a period of treatment in which actual sex is off limits, but kissing, cuddling and manual stimulation is encouraged. Then progress to a stage where your partner, masturbates you till you reach an orgasm, finally, move to a situation where she lowers herself onto you shortly before you climax.

I believe this should help solve your problem, but if the problem persists I would suggest you along with your partner to consult your physician and a counselor(psychologist or sex-therapist).
Psychotherapy can help by addressing underlying mental health problems leading to weak erection, such as stress, depression or anxiety. It's also used to address psychological issues that directly affect your ability to maintain erection. Depending on the underlying cause, you may benefit most from seeing a sex therapist — a mental health counselor who specializes in talk therapy for sexual problems. The type of counseling that's best for you will depend on your particular concerns

HI, Welcome to HCM,
Masturbation refers to the sexual stimulation of a person's genitals, usually to the point of orgasm.
The stimulation can be performed manually, by use of objects or tools, or by some combination of these methods.
Masturbation is a common form of autoeroticism, providing sexual pleasure or orgasm in the absence of a partner. The act, when performed with a partner, is called mutual masturbation and is sometimes used as an alternative to sexual intercourse.
Men and women have techniques and characteristics in common, but also have specific preferences in the ways they like to masturbate. Studies have found that masturbation is frequent in humans of both sexes and all ages, although there is variation. Various medical and psychological benefits have been attributed to a healthy attitude to sex in general and to masturbation in particular, and no causal relationship is known between masturbation and any form of mental or physical disorder.
There have been masturbation marathons and health service slogans such as "an orgasm a day keeps the doctor away". It is commonly mentioned in popular music as well as on television, in films and in literature.
Finally,i must advise you to contact a psychiatrist for further evaluation.
Regards
HCM