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Difficulty in erection due to stress. Trying for conception. Any help? - Online Doctor Chats

Date : 09-Jun-2013
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:Good Evening
Doctor:How can I help you?
User:Hello Doctor....
User:Very good evening
User:I'm 37 yr old married male
Doctor:Hiplease proceed with your query.
User:I'm planning to extend my family
User:and trying for it from the past few months
User:but somehow during her ovulution days i'm not able to intercourse
User:either facing erection failure or not getting the erection itself
User:could u plz suggest something
Doctor:Ok. I need to know a little more details to guide you.
User:yes, plz ask
Doctor:1. Have you done your sperm tests?
User:nope.. actually our doctor asked for it
Doctor:2. Had your wife undergone other tests including hormonal and radiological tests?
User:but when i went to diagnostic centre ... i was not able to ejaculate thru masterbution
Doctor:Do you get erection normally on other days?
Doctor:Are you able to complete the sexual act without losing the erection?
User:not everytime we wont get orgasm
User:but most of the time we are able to complete it
Doctor:Ok. Are you able to ejaculate normally, I mean not everytime?
Doctor:Ok. Fine.
Doctor:That shows that you are not having an issue of impotency.
Doctor:Be assured of that.
Doctor:May I know your wife's age?
User:32 yrs
User:actually we already hav 5 yr one child
Doctor:That is great.
User:in last yr during mar she got pregnant but had missed miscarage
Doctor:First thing is you both should be relaxed, without any stress and enjoying the act of intercourse.
Doctor:Do you have any personal habit such as smoking?
User:actually we are so despirate to hav one more child n that pressure causing all this erction failure
Doctor:Yes. That is exactly true I believe.
User:no smoking , and sometimes have alcohal
Doctor:Ok. let me guide you.
User:like once in a mth
Doctor:That is fine.
User:yes plz
Doctor:1. Always have a relaxed mind before going to bed.
Doctor:2. Increase your foreplay duration before going to actual intercourse.
Doctor:3. never take any daily stress to your bedroom.
User:actually we dont do much foreplay in the fear of losing erection if we delayed intercourse
Doctor:4. Do not stress yourself into doing sex.
Doctor:That fear is the cause for losing erection.
Doctor:keep everything else out of mind.
Doctor:And try not to concentrate on erection.
Doctor:Instead enjoy every moment of the time yu are having together.
User:yes, n to overcome it we sometimes take viagra then always we hav orgasm
Doctor:That is fine.
Doctor:I would suggest you to have intercourse on alternate days.
User:yes... that itself put pressure on us... n we dont know how to handle it
Doctor:Please do not worry.
User:like 10th day onwards we start intercourse on every alternate days
Doctor:Just do not think that somehow, I need to get a kid.
Doctor:Procreaton is a natural process.
Doctor:It will happen.
User:so say 10th n 12th days we are able to intercourse properly
User:but 14th n 16th day we face erection failure
Doctor:I understand.
Doctor:The thought in back of your mind that, this is more crucial time, gives you a pressure.
User:also during evolution some sticky liquid comes n i dont get any sensation
User:because its a one month cycle n we hav to wait another 1 month if we missed this
Doctor:Yes. But then, do not rush into it. If you keep on doing the same mistake every month, you will have to wait for longer months.
Doctor:So please relax yourself.
Doctor:Make the environment such that it stimulates you for sex.
Doctor:Both of you should be relaxed and enjoying the moment.
Doctor:Instead of thinking that we should get it done this time, think that, we are going to have some nice time today.
Doctor:Then have a light meal.
User:yes, we understand this but still that running back in our mind
Doctor:Relax for some time.
Doctor:And then start with foreplay.
Doctor:Enjoy every moment of it.
Doctor:Do not even keep a calendar of date.
Doctor:One week after her periods stop, have sex every alternate days.
Doctor:Do not count the days.
Doctor:include plenty of fruits and vegetables in your diet.
Doctor:Dates can help in improving the sexual health.
User:ok, any other natural suppliment to increase libido
Doctor:I am sure, if you keep the calendar out of your mind, she will get pregnant again within next 2-3 months.
Doctor:Vitamin E supplements will help.
Doctor:Honey is again another source to improve your sexual health.
User:Vitamin E thru medicine?
Doctor:You can take synthetic supplements such as Evion capsules, or you can take natural supplements such as Parselenium E from Amway.
User:n wot will be the dosages?
Doctor:You can take daily morning one capsule.
Doctor:After food.
User:i was also thinking to take dabur 30+ tab.... will it be ok ?
Doctor:I am not sure of its contents.
User:n last year when my wife got pregnant i was taking Carnitor tab
Doctor:Hope I had been able to guide you regarding your concerns.
Doctor:That is fine.
Doctor:It is a nutritional supplement which helps in many metabolic activities.
Doctor:have you followed my suggestions?
User:is it ok to take manforce or penegra tab when i'm hav failed intercourse?
User:yes, very much
Doctor:It is fine to have. But, that has to be taken under the guidance of your treting physician only.
User:actually i'm taking it by my own
Doctor:please do consult your physician regarding that.
Doctor:he will have to check your blood pressure and other vital signs to guide you better on the medication.
User:do i need to see a general physician or some specialist
Doctor:A urologist would be the better person.
Doctor:Hope I had been able to guide you.
User:yes, just one more quees
Doctor:Please proceed.
User:doc, asked me to undergo sperm analysis
User:so can i carry the sample from home... n within how much time i hav to present it at the labs?
Doctor:You need to give it immediately.
Doctor:Otherwise the results may vary.
User:then last time i was not able to ejaculate thru masterbution
User:how to handle this?
Doctor:Sperm analysis maybe required. But I do not think that you require that now.
Doctor:You need to get a complete amount of your ejaculation for the analysis.
Doctor:Only way is by masturbation.
Doctor:Then only a proper analytical report can be made.
User:then will giving sample after taking viagra will affect the results
Doctor:Viagra does not affect the sperm values.
Doctor:It just helps in the erection.
User:because its very embarassing to tell i dont hav sample to lab tech
Doctor:I understand.
Doctor:I can feel the thoughts you are going through.
Doctor:Just keep the analysis to be done on a later date.
Doctor:build your confidence through the measures I have explained.
Doctor:That should do the trick.
User:ok, n medicine wont help me in overcome this fear of failure?
Doctor:It is not a disease.
Doctor:So you do not need any medication.
Doctor:Counselling by a psychiatrist will help.
User:n will blood pressure also affects the erection?
Doctor:You can post a query regarding the same to a psychiatrist on our website. He will give you techniques about how to relieve your mind about this fear.
User:ok, fine
Doctor:Blood pressure usually does not affect the erection.
User:ok...n i can also consult the urologist thru this website... as personally going to see will be little embarasing
Doctor:So remember to throw the calendar out of your window.
Doctor:That would be fine. But make it two different queries, and make the difference in the queries itself.
User:can i get them on chat also?
Doctor:No. Specialists will not be there on chat. They only answer online.
Doctor:You can relax your mind and discuss the problems.
User:ok, so just to sum up wot u suggested...
Doctor:1. Do not worry.
Doctor:2. Throw the calendar out.
Doctor:3. Enjoy the sex.
Doctor:4. Foreplay is important.
Doctor:5. Vit E, Dates and honey would help.
Doctor:6. Post your queries to Urologist and a Psychiatrist.
Doctor:7. Include lots of fresh fruits and vegetables in your diet.
Doctor:Have you followed all these suggestions?
User:Yes, doctor i'll follow ur advice and can i get u on chat again to share the improvement?
Doctor:Sure. You can ask for once you login and find any other doctors on chat.
Doctor:Hope I had been able to help you.
User:ok.. n is this chat history is saved for future reference?
User:yes definately feeling much better after discussing the problems :)
Doctor:It is saved.
Doctor:Do not worry.
Doctor:We are here to help you.
Doctor:Thanks for consulting me.
User:Thank you...
Doctor:Have a nice time.
User:good night ....bye
Doctor:Enjoy your time.
Doctor:Bye for now.
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