Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Erectile Dysfunction
Question: I am suffering from "Erectile Dysfunction", I have tried to have sex several times but I could not get enough hardness in penis.
What is the solution ?
What is the solution ?
Brief Answer:
possibility of psychosexual problem, provide more information
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us. I can understand your concern.
At age of 28 there is less likely any physical cause for erection problem.
To guide you in specific direction I need more information from your side.
- Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
- How did problem started? Any specific incidence was there?
- Do you pay more attention to erection while trying for intercourse?
- Do you have any physical illness?
- How is relationship with your partner? Any emotional or social problem is there?
- Is there morning erection present?
- Is there any history of smoking or alcohol?
- Is there any difficulty in urinating?
- When did you do successful intercourse last?
- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
possibility of psychosexual problem, provide more information
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us. I can understand your concern.
At age of 28 there is less likely any physical cause for erection problem.
To guide you in specific direction I need more information from your side.
- Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
- How did problem started? Any specific incidence was there?
- Do you pay more attention to erection while trying for intercourse?
- Do you have any physical illness?
- How is relationship with your partner? Any emotional or social problem is there?
- Is there morning erection present?
- Is there any history of smoking or alcohol?
- Is there any difficulty in urinating?
- When did you do successful intercourse last?
- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir,
Thanks for writing to me.
Well to give you brief understanding about my problem,
I do get erection in morning, mostly everyday.
I am not married, but I have a girlfriend. We have good relation, good bonding.
But when I tried to have intercourse for the first time, I couldn't.
We tried 2 days back to back, on 3rd day I could get erection and my frist intercourse took place. She also said that she enjoyed.
Then I started doing kegel exercises and XXXXXXX Chandraprabha Vati.
And after a month, we tried again, I could not get erection again.
But the other day, I could and again could please her.
About masturbation, yes, I do it often watching porn.
Kindly guide what is the solution.
As I think that I have Erectile Dysfunction, but it is in early stage, so it is better if I kill it before it becomes serious.
Thanks for writing to me.
Well to give you brief understanding about my problem,
I do get erection in morning, mostly everyday.
I am not married, but I have a girlfriend. We have good relation, good bonding.
But when I tried to have intercourse for the first time, I couldn't.
We tried 2 days back to back, on 3rd day I could get erection and my frist intercourse took place. She also said that she enjoyed.
Then I started doing kegel exercises and XXXXXXX Chandraprabha Vati.
And after a month, we tried again, I could not get erection again.
But the other day, I could and again could please her.
About masturbation, yes, I do it often watching porn.
Kindly guide what is the solution.
As I think that I have Erectile Dysfunction, but it is in early stage, so it is better if I kill it before it becomes serious.
Brief Answer:
it is performance anxiety likely, you can use supplement
Detailed Answer:
Hi,
Thanks for information.
Dear young man you do not have any physical problem and it is also not erectile dysfunction according to diagnostic criteria. When erection problem for more than 6 months and present almost 70% of the time when you attempt sex then only it can be called erectile dysfunction. It is likely performance anxiety.
Sometime due to fatigue, lack of mood, situational problem,beginning of sex life or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
While doing sex keep yourself relax.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 2 hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.
Apart from this if you want to take supplement, my recommendations are as below.
You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED. You may get this medicine over the counter as it is vitamin product.
I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for sex related problem. No side effects have been reported.
If I were your treating doctor I suggest one tablet of tetrafol plus after meal twice daily for two months and one tablet tentex forte daily at night with a cup of milk for 4 weeks.
Feel free to discuss further.
it is performance anxiety likely, you can use supplement
Detailed Answer:
Hi,
Thanks for information.
Dear young man you do not have any physical problem and it is also not erectile dysfunction according to diagnostic criteria. When erection problem for more than 6 months and present almost 70% of the time when you attempt sex then only it can be called erectile dysfunction. It is likely performance anxiety.
Sometime due to fatigue, lack of mood, situational problem,beginning of sex life or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
While doing sex keep yourself relax.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 2 hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.
Apart from this if you want to take supplement, my recommendations are as below.
You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED. You may get this medicine over the counter as it is vitamin product.
I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for sex related problem. No side effects have been reported.
If I were your treating doctor I suggest one tablet of tetrafol plus after meal twice daily for two months and one tablet tentex forte daily at night with a cup of milk for 4 weeks.
Feel free to discuss further.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
