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Suggest treatment for erectile dysfunction

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Posted on Mon, 18 May 2015
Question: I feel like have erectile disfunction. bcoz i have tried 3 times to have sex with sluts but coulnt hsve intercourse.
doctor
Answered by Dr. Chintan Solanki (25 minutes later)
Brief Answer:
it is moslty psychological and situational

Detailed Answer:
Hi XXXX,

Thanks for follow up.You are young man of 26.

Erectile dysfunction is defined when penis does erect sufficiently to be able to enter in to vagina for most of the time for at least 6 months.

Your problem is likely psychological/situational and no medications needed for the same.

You mentioned that, "i have tried 3 times to have sex with sluts but coulnt hsve intercourse."this does not lead to diagnosis of erectile dysfunction.

Understand some facts:

For good erection constant exciting erotic feelings must be present in mind.If your mind is diverted to something else apart from sex, erection is going to lose.Initially when you went to slut there may be hurry or fear of something doing exciting or doing sex at some unknown place. This anxiety might be responsible for failure of intercourse.

After that whenever you go for sex,thought of loosening erection and failure of past erection come into your mind and your penis does not get erect.This is purely psychological problem, no physical/pathological problem at all.It is performance anxiety.

I suggest to relax yourself from apprehension of not being able to achieve erection.You can do sex normally for sure.Whenever you go for sex, do not think about erection. Try to enjoy foreplay and have a good romance. Penis will get erect automatically.

I need some information also to help you better

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

- Is there morning erection present sometime when you wake up in morning ?

- Do you or have you done masturbation in past ? Could you do it successfully?

- Narrate your sex experience with sluts indetail

- Have you used condoms or not?

- Do you have any habit of smoking or alcohol? if yes describe details.


Waiting for your reply to help you further.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Chintan Solanki (4 days later)
i havenot fucked any one till now but but i have done foreplay...telephonic sex for long time for atleast 6 years ....almost regularly as my girlfriend use to stay at XXXXXXX distant place.And i have been mastruburating since the age of 14 yrs.Some time i had problem of low blood pressure and doctors use to say it is because of anxiety.NO sugar.kindly suggest.

morning errection use to be there regularly but it is not much now....but i do feel to have sex with my G.F. not much intrested in another wommen as i used to be.

Sex experince with slut was like i was arroused by her and i was enjoying but when it came to insert my penis in her vagina i felt it wasnt hard enough to go in and even after that i continued to rub her kisss her suck her but could not fuck her another thing during mastubration also seimen comes out early.
doctor
Answered by Dr. Chintan Solanki (16 hours later)
Brief Answer:
peromance anxiety is likely there,masturbartin does not harm

Detailed Answer:
Hi,

Thanks for information.Sorry for delayed response.

Masturbation is normal natural process.It does not cause any problem related to sex or health. So your problem of low BP not at all related to that. It might be due to some anxiety related to sex or may be due to postural hypotension. In which sudden change of position form standing to sitting to sleeping or reverse of the same hypotension may occur for seconds. It can be corrected by taking some what more salt in diet and changing of position slowly.

Telephonic sex or foreplay also do not cause any erectile dysfunction.

Morning erection though not regular and less in degree indicates that no pathological problem of erection is there.

It is fine that you are not much interested in other women. It is natural occurrence. As age progresses according to culture,values and brought up of the person he/she used to remain faithful to one partner.

Like you many young men feel disturbed after failure in sex when go to slut. However most of them have suffered due to anxiety or circumstances.Sex does not only means attachment between bodies. it requires some romance and feelings also. When you go to slut this is not possible. You have to perform in time limit and in specific manner.After losing erection if you try actively with thinking to make penis erect again
your mind is not involved in sex. Your mind is somewhat directed to thought of erection and that makes your attempt fail.

After practice in masturbation semen comes out early.It is normal.When you go for sex, penis will take more time to ejaculate due to different stimulation and different sensitivity by vaginal wall. Condom can also help to delay the ejaculation by reducing the sensitivity.
However if you go for sex and if semen comes out before female partner reaches orgasm, it is called premature ejaculation. This should happen most of the times to diagnose PME.Treatment of the same available in form of medicines and behavioral approaches.
You can use Stop and Squeeze technique.It can be applied which you can learn from internet.(In brief, method suggests that you should try to divert your mind for a moment when you feel ejaculation arousal and penis should be tightly squeezed with hand inwards during masturbation).

In conclusion try to go for sex without any anxiety of erection. If you go to your girlfriend, provide enough time in foreplay. Insert only when penis is erect fully. Do not think or concentrate on erection.Just enjoy the process.
And still you find it difficult after few attempts, let me know.

All the best.





Above answer was peer-reviewed by : Dr. Shanthi.E
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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

Brief Answer: it is moslty psychological and situational Detailed Answer: Hi XXXX, Thanks for follow up.You are young man of 26. Erectile dysfunction is defined when penis does erect sufficiently to be able to enter in to vagina for most of the time for at least 6 months. Your problem is likely psychological/situational and no medications needed for the same. You mentioned that, "i have tried 3 times to have sex with sluts but coulnt hsve intercourse."this does not lead to diagnosis of erectile dysfunction. Understand some facts: For good erection constant exciting erotic feelings must be present in mind.If your mind is diverted to something else apart from sex, erection is going to lose.Initially when you went to slut there may be hurry or fear of something doing exciting or doing sex at some unknown place. This anxiety might be responsible for failure of intercourse. After that whenever you go for sex,thought of loosening erection and failure of past erection come into your mind and your penis does not get erect.This is purely psychological problem, no physical/pathological problem at all.It is performance anxiety. I suggest to relax yourself from apprehension of not being able to achieve erection.You can do sex normally for sure.Whenever you go for sex, do not think about erection. Try to enjoy foreplay and have a good romance. Penis will get erect automatically. I need some information also to help you better - Do you have any physical problem like hard blood pressure or diabetes? - Is there morning erection present sometime when you wake up in morning ? - Do you or have you done masturbation in past ? Could you do it successfully? - Narrate your sex experience with sluts indetail - Have you used condoms or not? - Do you have any habit of smoking or alcohol? if yes describe details. Waiting for your reply to help you further. Regards, Dr.Chintan Solanki.