Brief Answer:
problem is likely psycholgical

Detailed Answer:
Hello XXXX,

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. Most of them do not have any physical problem. You are getting erection in between so there is no physical likely.

To guide you further I need more information.

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

- Do you pay more attention to erection while trying for intercourse or masturbation?

- Do you have any physical illness, specifically diabetes or high blood pressure?

- Is there any history of history of smoking, tobacco or alcohol?

- Is there any difficulty in urinating?

- How is relationship with your partner? Any emotional or social problem is there?

- Is morning erection present?

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

- Is there any problem from your wife's point of view?

- Is there dryness or inadequate lubrication?

I will be happy to help further after your response.

Regards,

Dr.Chintan Solanki.

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Brief Answer:
it is likely performance anxiety

Detailed Answer:
Hi,

Thanks for information. You have morning erection and recent successful intercourse and your wife does not feel problem. This suggests there is no physical problem at all. Your problem is psychological.

Your weak erection can be due to 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 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.

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 ejaculation. You must try to enjoy and only enjoy.

If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.

In any case in future you will fail after multiple attempts; medicines are there to get confidence.

5-PDE inhibitor group of drug like sildenafil or tadalafil is useful. Person can take it before 2 hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.

Feel free to discuss further.

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