Brief Answer:
Your problem can be treated, provide more informat

Detailed Answer:
Hi XXXX,

Thanks for writing to us.

I have gone through your query and understood your concern.

To pull foreskin back above glans penis is absolutely normal. Rather foreskin should be retracted fully behind glans for good sexual experience.

Your problem of early loosening of penis may be due to two possibilities.

If ejacualtion occurs early and your penis loses erection before your wife gets orgasm it is called premature ejacualtion(PME).

If penis loses erection early without ejaculation or even you can not insert in vagina with that much erection it is likely erectile dysfunction(ED).

Sometime both problem occurs simultaneously when penis does not erect sufficiently to be able to enter vagina as well as ejacuates early.

Both PME and ED are treatable conditions. Treatment depends on cause. Most of the cases in young age are pscyhosexual and treated with counselling and/or medicines for short duration.

To help you better I need more information.

- Your age? Duration of marital life?

- Since when are you suffering from this probelm?

- From above information can you tell me what is it, PME
or ED?

- Do you have habit of smoking or alcohol use? If yes,
Please mention duration, frequency and qunatity.

- Do you have any physical problem like blood pressure
or diabetes?

- Do you have any type of stress like economical, social
or occupational and you are feeling depressed or
anxious?

Please answer all and revert back to me.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
You can be helped with sex ounselling and medicines

Detailed Answer:
Hello XXXX,

Thanks for follow up and sorry for delayed response.

Positive factors in your history are:

- You married recently. In newly married couple ED occurs frequently. In most of the cases cause is psychological. You do not have experience of sex before marriage.You are learning sexual skills and you will improve.You do not have blood pressure or diabetes.Most of the cases treated without medicines when cause is only psychological.

- Negative factors in your history are:
Drinking and smoking since 7-8 years. Both these factors affect erection capacity at physical level.You also have stress, emotional and work related.Stress affects erection capacity at psychological level.

For good sex life one should be healthy physically as well as psychologically.Relax mind and energetic body are needed for successful intercourse.

In your case if I were you treating doctor,
- I would like to go for couple sex counseling. I would educate you and your wife about foreplay,sex process and if needed Master and XXXXXXX technique.
- I would also like to start terafol plus(containing multivitamins mecobylamine,mefolate and pyridoxal phosphae). It should be taken twice daily after meal. It helps in improving erection in many patients without side effects.
- I would also like to evaluate more history about stress and if any specific diagnosis of anxiety or depression will be made, I will treat the same.
- Deaddiction for alcohol and smoking is also necessary for sex as well as overall health.
- I will wait for a month then. If no improvement in erection then only would like to go for testing of testosterone level and 5-PDE inhibitor drugs.

Better to consult psychiatrist (Psychiatrist is by degree sexologist also) and start treatment. as I mentioned.

Hope this answer is satisfactory and I would like to help further if any.

Take care.

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