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Suggest Treatment For Erectile Dysfunction

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Posted on Mon, 16 Nov 2015
Question: I'm a 21 year old man and I'm a virgin. I was diagnosed with aspergers when I was 6. I am a civil engineering major. I work out and take care of my self. I have been in bed with women but cannot get an erection. I am not XXXXXXX I like women. I will occasionally masterbate to porn. Why am I having so much trouble with women? I know it has to do with stress but How can I overcome this ?
doctor
Answered by Dr. Shubham Mehta (32 minutes later)
Brief Answer:
performance anxiety and other causes.

Detailed Answer:
Hello
Welcome to HCM.
I can understand your concerns.

You are having trouble in getting erection.

Stress, tiredness and anxiety are the common causes of psychological erectile dysfunction.
I say its psychological because you have mentioned that you are able to masturbate with porn. Do you have night time or early morning erections?

Another reason could be too much alcohol or smoking.
If you are into it, I would suggest you quitting it.

Apart from this, sexual performance anxiety can be a major issue in inability to achieve erection.
It can be due to a poor body image, inexperience, upsetting sexual encounters, negative self-evaluation or by a partner.

Some ways to overcome this performance anxiety are:

•     Stop concerning about what others are thinking about you;
•     Stop overstating how bad it is to not have an orgasm;
•     Stop rating your sexual experience, while you are having it;
•     Practice relaxation exercises like deep breathing and meditation to remove anxiety.
•     Make love not just sex.
•     Don’t be shy about bringing foreplay. Spend enough time in foreplay.

Some medications like antidepressants, antipsychotics, antihypertensives can also cause erection problems. Do you take any medications?

If the above measures does not help you in achieving normal erection, you can use drugs like tadalafil (prescription drug). This is a safe drug which short-term self-limiting side effects like headache, facial flushing and runny nose.

Kindly consult your doctor for a valid prescription and also discuss these issues.

Hope this helps.

Feel free to ask further.

Take care.
Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
Dr.
Dr. Shubham Mehta

Psychiatrist

Practicing since :2008

Answered : 2145 Questions

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Suggest Treatment For Erectile Dysfunction

Brief Answer: performance anxiety and other causes. Detailed Answer: Hello Welcome to HCM. I can understand your concerns. You are having trouble in getting erection. Stress, tiredness and anxiety are the common causes of psychological erectile dysfunction. I say its psychological because you have mentioned that you are able to masturbate with porn. Do you have night time or early morning erections? Another reason could be too much alcohol or smoking. If you are into it, I would suggest you quitting it. Apart from this, sexual performance anxiety can be a major issue in inability to achieve erection. It can be due to a poor body image, inexperience, upsetting sexual encounters, negative self-evaluation or by a partner. Some ways to overcome this performance anxiety are: • Stop concerning about what others are thinking about you; • Stop overstating how bad it is to not have an orgasm; • Stop rating your sexual experience, while you are having it; • Practice relaxation exercises like deep breathing and meditation to remove anxiety. • Make love not just sex. • Don’t be shy about bringing foreplay. Spend enough time in foreplay. Some medications like antidepressants, antipsychotics, antihypertensives can also cause erection problems. Do you take any medications? If the above measures does not help you in achieving normal erection, you can use drugs like tadalafil (prescription drug). This is a safe drug which short-term self-limiting side effects like headache, facial flushing and runny nose. Kindly consult your doctor for a valid prescription and also discuss these issues. Hope this helps. Feel free to ask further. Take care. Thanks.