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Suggest treatment for erectile dysfunction

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Posted on Fri, 22 Jul 2016
Question: Hi sir.
I am 26 years old.I had my first intercourse with my wife in which i failed toinsert my penis in vagina.The front portion of my penis is soft which made me difficult to entry to vagina.The erection was perfect except for the front portion of my penis.I have been mastrubating since childhood extensivelysometimes 10 times a month.can u please help in this issue.
doctor
Answered by Dr. Sandip Kabra (3 hours later)
Brief Answer:
psychological or due to performance anxiety or lack of sexual experience.

Detailed Answer:
Hello,
Welcome to Health Care Magic,

As per the facts you have posted here, it appears that you are having a problem of getting hard erection (especially head of penis) while attempting for sexual intercourse.

This kinds of problems are often psychological or may be due to performance anxiety or lack of sexual experience but it has nothing to do with masturbation,so do not worry about it.

This kind of problem may also rise because of partner, when she is probably in extreme fear of pain so when you try to get in, the opening of vagina and surrounding area goes in to spasm. This leads to narrow vaginal opening making difficult for penis to penetrate deep inside it.

At first, I would advise the use of a good and sterile lubricant which would assist the penis in entering the vagina with more ease.

Also, there are multiple devices (called as Vaginal Dilator Set- Natural Shape) available in special pharmacy stores (and also available online) which may help in the dilation of the vaginal entrance.

They come in different sizes and need to be used for a certain amount of time on a daily basis to help achieve dilation.

I would also recommend to use your fingers with the application of a lubricant (like KY Jelly or Vaseline) and insert them into the vagina. Do not try to insert them dry.

You can follow this steps to have a complete penetration.

1st - try to relax your wife and be with her in naked position without attempting penetration. You should wait till she starts enjoying your touching and rubbing but don't touch genital areas immediately (which might cause reflex contraction of vaginal muscles).

2nd - then add chest area and pubic area to the range of touching and massaging.

3rd - try insert single finger with the help of KY Jelly or Vaseline, and move it in and out.

4th - slowly make it two and when it is easy, try and insert penis.

By this protocol, you may achieve full penetration and if still problem persists then you may need sexologist personal visit.

Secondly, I will advise you to stop becoming more anxious since if you feel more anxious and worried or keep having doubts that you may not be able to perform properly, then this anxiety itself will worsen the problem.

Anti-anxiety medications (eg.Recita forte) can also be taken to relieve from anxiety just before intercourse by the written prescription from some local physician.

Try to be relaxed and enjoy yourself and don't keep on thinking like how long am I going to last or will I ejaculate too early or will I be able to satisfy my partner etc.

Wait until you and your partner gets fully aroused and involved by doing more foreplay and then things keep flowing smoothly and effortlessly.

Hope this will help and feel free to ask if you have more queries.

Regards,

Dr.Sandip kabra
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Sandip Kabra (11 hours later)
Sir..
The head of penis is very soft rest is hard i also get pain in the testicles due to excessive mastrubation.Will it be solved by taking vaigra...?
doctor
Answered by Dr. Sandip Kabra (47 minutes later)
Brief Answer:
Viagra might be helpful but you should see doctor first.

Detailed Answer:
Hello,
Welcome again,

head of penis or glans is slightly soft structure compared to body portion of penis and if it is causing difficulty in insertion of penis in vagina,then I would suggest you to see some local surgeon for the clinical examination of penis to rule out any structural problem. The doctor will also examine your scrotum area (testicles) to rule out infection. But excessive masturbation has nothing to do with it.So no need to worry about it.

Taking viagra may be prescribed but after clinical inspection of penis as you have problem of only head of penis,so I am not in favor of giving it at present.

Rest of all other things I have already mentioned in my previous answer,you can follow them.

Regards,


Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sandip Kabra (3 days later)
hi..i also have a doubt regarding hardening of penis.
During intercourse i may have anxiety problem due to which front portion of penis may not get hard but when i get into mood normally(normally in day time or night) and my penis get erected still the head portion my penis is still soft which is making me under confident.Now i am doubting on my potency is it really a normal one or abnormal situation caused due to heavy physical strain on my penis.
doctor
Answered by Dr. Sandip Kabra (50 minutes later)
Brief Answer:
Does not related to potency.

Detailed Answer:
Hello,
Welcome again,

As I already told you that head of penis or glans is slightly softer structure compared to body portion of penis but it is NOT related to your potency,so no need to worry about it.

I will again suggest you to see some local surgeon to examine the penis head.

The appropriate medications can be prescribed based on the clinical findings.

Regards,

Dr.Sandip Kabra
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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Suggest treatment for erectile dysfunction

Brief Answer: psychological or due to performance anxiety or lack of sexual experience. Detailed Answer: Hello, Welcome to Health Care Magic, As per the facts you have posted here, it appears that you are having a problem of getting hard erection (especially head of penis) while attempting for sexual intercourse. This kinds of problems are often psychological or may be due to performance anxiety or lack of sexual experience but it has nothing to do with masturbation,so do not worry about it. This kind of problem may also rise because of partner, when she is probably in extreme fear of pain so when you try to get in, the opening of vagina and surrounding area goes in to spasm. This leads to narrow vaginal opening making difficult for penis to penetrate deep inside it. At first, I would advise the use of a good and sterile lubricant which would assist the penis in entering the vagina with more ease. Also, there are multiple devices (called as Vaginal Dilator Set- Natural Shape) available in special pharmacy stores (and also available online) which may help in the dilation of the vaginal entrance. They come in different sizes and need to be used for a certain amount of time on a daily basis to help achieve dilation. I would also recommend to use your fingers with the application of a lubricant (like KY Jelly or Vaseline) and insert them into the vagina. Do not try to insert them dry. You can follow this steps to have a complete penetration. 1st - try to relax your wife and be with her in naked position without attempting penetration. You should wait till she starts enjoying your touching and rubbing but don't touch genital areas immediately (which might cause reflex contraction of vaginal muscles). 2nd - then add chest area and pubic area to the range of touching and massaging. 3rd - try insert single finger with the help of KY Jelly or Vaseline, and move it in and out. 4th - slowly make it two and when it is easy, try and insert penis. By this protocol, you may achieve full penetration and if still problem persists then you may need sexologist personal visit. Secondly, I will advise you to stop becoming more anxious since if you feel more anxious and worried or keep having doubts that you may not be able to perform properly, then this anxiety itself will worsen the problem. Anti-anxiety medications (eg.Recita forte) can also be taken to relieve from anxiety just before intercourse by the written prescription from some local physician. Try to be relaxed and enjoy yourself and don't keep on thinking like how long am I going to last or will I ejaculate too early or will I be able to satisfy my partner etc. Wait until you and your partner gets fully aroused and involved by doing more foreplay and then things keep flowing smoothly and effortlessly. Hope this will help and feel free to ask if you have more queries. Regards, Dr.Sandip kabra