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Suggest treatment for erectile dysfunction and lack of ejaculation?

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Posted on Fri, 22 May 2015
Question: Hi Doc,
I am recently married and facing a problem that my penis erect but at time of intercourse it get loss (not discharge). Some times i had used penegra 50mg but dont want to use it continuously, kindly suggest......
doctor
Answered by Dr. Chintan Solanki (40 minutes later)
Brief Answer:
please provide some detail, there is no major problem

Detailed Answer:
Hello Mr. XXXX,

Thanks for writing to us.Congratulations for marriage.

I can understand your concern.

Many newly married couples face problems in sex life initially. It will take 1-2 months until it goes smoothly.

As you find penegra helpful, likely there is no major physical issue.

In most of such cases reason is anxiety related to sex.
In males performance anxiety is the commonest cause while in female inability to relax and be ready for sex with fear of pain.

-Is there anything related to anxiety as above in your case?

-Do you have any habit of smoking or alcohol?If yes they should be stopped.

-Let me know exactly what happens during sex?

-How many times did you have successful intercourse without penegra until now?

-What is duration of married life?

-Had you any experience of sex before marriage?

In most of such cases only couple counseling is sufficient to solve the problem.

Please revert back to me with answers of above questions so I can provide further help.

regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (23 hours later)
Good Morning Dr. Solanki ......

Thanks for giving your precious time for my matter & for the best wishes.

As you have asked about anxiety issues, yes we both have the issue of anxiety sometimes,as for me its related to performance & for my wife its for fear of pain.

No sir I don't have have habit of smoking & alcohol, half of the year back i used to drink & smock occasionally but not now.

I got married in Feb-2015 & spend only six days after marriage with my wife in which she got her period for 3 days. then she came to my work location in March 21,2015. we loves to do 4play and never tried for intercourse but we realized the time is moving and we have to have sex and we started to attempting it but all in vain so my friend suggest me penigra. I took it 6th april for the first time, it works for around 24hrs for me so we have sex many times in between. since that time i had taken 6 pills till date. I between my wife got the problem ovarian cysts and it took 10days to recover, we didnt had sex in- between

No I had never experienced sex before marriage.

without penegra we had 5-6 times inter course.

Sir we have sex in early in morning as my penis erect well at the same time.although we had tried in evening as well. her vagina is tight as i have to concentrate very much and my mind gets diverted and penis gets loos.

some times it happens i am erected and we need some lubricant or condom she goes to take it and apply in between its loos.

some time when have intercourse & i apply shots during appling shots it gets loos not discharge.

ie: yesterday night we were having 4play then i was ready to insert but inner skin of my penis was dry and it was not getting in so i went to apply some lubricant but my penis was loos in between.

we both enjoys the 4play more than sex, & gets discharge but sex is also an important part.

sir kindly suggest the best position to have sex.

is there any problem of concern for me?

Sir i want to have sex naturally kindly suggest...

Pls help...

Regards,

XXXX



doctor
Answered by Dr. Chintan Solanki (30 minutes later)
Brief Answer:
No physical problem at all, no need to worry

Detailed Answer:
Hi XXXX,

Thanks for clear information.

From your history it is absolutely clear that there is no physical problem which is required to be treated medically for sex.
Someone has told and you have taken penegra. Believe me if you did not have taken the same you were have good intercourse also.
You already mentioned that you both have anxiety issues.These need to be sorted out.

Successful sex without penegra 5-6 times and morning erections are favoring that you can have natural sex life without any medicine.

Lubrication is very important aspect for smooth sex. During foreplay from penis couper's gland and in female vaginal glands watery liquid come out which act as lubricant naturally to prevent friction. If you do not have this lubricant secretion in sufficient amount you can use KY jelly water based lubricant which is non toxic and almost safe.Insert jelly in vagina before sex not while you proceed from foreplay to sex. Even you can apply some amount on penis before foreplay or apply on condom and keep the condom ready.

Counseling of your wife is an important aspect. She should be relax while having sex.After breaking of hymen there is no major pain. You have gone may times for successful sex so her hymen had been broke up. And if at all pain is there is will be enjoyable.She can have deep breathing exercise before sex for relaxation. She has to enjoy sex without thinking about of pain. If she thinks about pain, her muscles are going to tighten subconsciously and penis entry will be difficult.

If at all she cannot be convinced, detail personal couple sex counseling by a psychiatrist/ qualified sexologist will help.

For constant erection to be present during sex continuous exciting and romantic feelings should be there in both partners' mind. If mind diverted to something else erection likely to loose.Same is happening in your case.For your performance anxiety you should not to worry about erection. Just enjoy foreplay. When you and her feel that there is sufficient lubrication(if not ,use lubricant as I mentioned above) and your erection is there insert penis. Do not think actively about erection, continue enjoying romance of foreplay and you can succeed.

There is no specific position idea for all. It depends on couple. Missionary position(male on top) is the commonest one used by the most. But you can have your own which is comfortable for both of you.

Try what I have suggested for 15-20 days without any fear/apprehension or worry regarding sex life and see the results.

All the best.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (46 minutes later)

Thanks Dr. Solanki

Ill surly go with your advice and enjoy to have sex without medicine but if it dont work after 10-15 days can i use any aurvedic herbal medicine for one or two times?
doctor
Answered by Dr. Chintan Solanki (4 hours later)
Brief Answer:
yes you can use tetrafol plus or tentax forte

Detailed Answer:
Hi XXXX,

Yes you can use another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus in India)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED.You should take it after meal twice a day. If you feel some improvement in 15 days you should continue for at least 1 month. You may get this medicine over the counter as it is vitamin product.

Another option is ayurvedic product tentax forte which you can use. One tablet after dinner for one month.

Do not go for both together.

I prefer tetrafol plus in your case.

Best of luck.

Hope I have answered your query.
If still any query there, I will be happy to answer.
If not, you can close the discussion and give your feedback which can help me to improve service.

In future you can contact me directly if you wish with this link:
http://bit.ly/drchintansolanki


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest treatment for erectile dysfunction and lack of ejaculation?

Brief Answer: please provide some detail, there is no major problem Detailed Answer: Hello Mr. XXXX, Thanks for writing to us.Congratulations for marriage. I can understand your concern. Many newly married couples face problems in sex life initially. It will take 1-2 months until it goes smoothly. As you find penegra helpful, likely there is no major physical issue. In most of such cases reason is anxiety related to sex. In males performance anxiety is the commonest cause while in female inability to relax and be ready for sex with fear of pain. -Is there anything related to anxiety as above in your case? -Do you have any habit of smoking or alcohol?If yes they should be stopped. -Let me know exactly what happens during sex? -How many times did you have successful intercourse without penegra until now? -What is duration of married life? -Had you any experience of sex before marriage? In most of such cases only couple counseling is sufficient to solve the problem. Please revert back to me with answers of above questions so I can provide further help. regards, Dr.Chintan Solanki.