Suggest treatment for erectile dysfunction
1. We have noticed that in the morning after some stimulation my penins is is bit hard but
after Oral Sex this comes into the softer again.
2. In the after noon around 5 :00 p.m . , we have tried one more time but this time it's not hard enough
one more thing we have gone to medical test and everything but test is quite normal.
I want to know why cialsis not working for me and what is the solution of this issue.
Hello and Welcome
I appreciate your concern
Erectile Dysfunction at your age is most commonly due to performance anxiety. Cialis would work well if there is a physical / vascular cause for the erectile dysfunction. Sex is as much a psychological activity as its a physical one, if not more. I would advise against increasing the dose of Cialis. In fact i would recommend the minimum 2.5 mg once a day dose. You should focus more on the psychological aspect rather than the physical one. Through, Sex therapy one is able to minimize performance anxiety and interacts better with one's partner. Initial foreplay and desensitization by being in the moment and not aiming for a standard is recommended.
In Erectile Dysfunction long standing Diabetes, atherosclerosis, Hypertension, Neurological/ spine problems, hormonal and vascular insufficiency issues are looked for if sex therapy and counselling alone don't produce results.
Some lifestyle changes may also help.Smoking and excess alcohol consumption should be strictly avoided. Vigorous exercise daily for at least 30 minutes that doubles your heart rate should be employed. Minimum 6 to 8 hours sleep. Eat fresh fruits, almonds, coconut water and at least 6 (250 ml) glasses of water a day.
Wishing you best of health
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
Dr. M.S. Khalil
Just add some more information , i do not take Alcohol and cigarette.
I am not fall into the Diabetics , or any other medical condition than as per your what is the best treatment to come out from this situation and how much time will take to come out from this situation.
I described the treatment options in the previous answer. I will summarize them again as they remain the same after your additional information. There is no additional medication that can improve this condition. Its a psychological barrier that you have to deal with it. It should not last more than 3 weeks provided you follow the above.
Lower the dose of Cialis.
More foreplay and stimulation
Less expectation and staying in the moment
Regular exercise, proper diet, adequate sleep as described above.
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