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Suggest Treatment For Erectile Dysfunction

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Posted on Mon, 20 Feb 2017
Question: Hello,
To get some information out of the way I had sex around 4 weeks ago and masterbated lastly maybe 2 weeks ago. While hanging out with a girl and attempting to have sex 3 days ago I learned that I could not get an erection. My first theory was that I watch too much porn but I only watch it maybe twice a week, if that. After talking to my brother, my new theory is that it is my preworkout and the Nitric Oxide in it that is causing my problem. I just did a test on myself to see if I could get an erection watching porn. It took much longer than usual and it was only 50% there. I am extremely worried and am looking for guidance.
doctor
Answered by Dr. Chintan Solanki (3 hours later)
Brief Answer:
It is performance anxiety

Detailed Answer:
Hello,

Thanks for writing to us. I can understand your concern.

Many young males like you suffer from such kind of concerns about sex life.

I want to clarify this.

First of all about masturbation by watching porn or by any mean.

Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity.

Other aspect is Perofmacne anxiety which can occur during masturbation and sex
Paying attention to erection leads to performance anxiety. Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. After such failure when person actively thinks about erection or success of intercourse/masturbation, his mind is likely diverted to such thoughts. This is called performance anxiety. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection becomes weak or lost.

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.

Same thing can happen during masturbation. As time passes and male grows sensitivity of penis to external stimuli gardually decrease and in that case you have to touch your penis for erection, it will not erect on its own sufficiently. This is natural and normal phenomenon. So it does not like that your habit of watching porn has created problem. No need to worry. As you have given attention during your testing you have felt less erection.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr Chintan Solanki

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (15 hours later)
Dr Solanski,

I understand what you are saying and it may just be anxiety but is there any possible way that it is porn ED or be a result from the Nitric Oxide in preworkout which I took daily, maybe 5-6 days a week? I am just wondering this because even after watching porn I still can only get up maybe 50% and I know anxiety wasn't the case in that situation because I almost had no worries at all.

Also, if it really is anxiety, what can I do to help better my problem?

Thank you, The Best
XXXX
doctor
Answered by Dr. Chintan Solanki (19 hours later)
Brief Answer:
Go for serum testosterone level

Detailed Answer:
Hi,

Sorry for delayed response.

It is not like routine anxiety. It is thinking about erection while it is happening. This leads to disruption in sex pathway from brain to penis. It is not due to nitric oxide.
The best idea is to assess serum testosterone level. Go for serum testosterone (free and total) level with fasting morning blood sample. Normal result will remove your apprehension.

Take care.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Treatment For Erectile Dysfunction

Brief Answer: It is performance anxiety Detailed Answer: Hello, Thanks for writing to us. I can understand your concern. Many young males like you suffer from such kind of concerns about sex life. I want to clarify this. First of all about masturbation by watching porn or by any mean. Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity. Other aspect is Perofmacne anxiety which can occur during masturbation and sex Paying attention to erection leads to performance anxiety. Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. After such failure when person actively thinks about erection or success of intercourse/masturbation, his mind is likely diverted to such thoughts. This is called performance anxiety. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection becomes weak or lost. 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. Same thing can happen during masturbation. As time passes and male grows sensitivity of penis to external stimuli gardually decrease and in that case you have to touch your penis for erection, it will not erect on its own sufficiently. This is natural and normal phenomenon. So it does not like that your habit of watching porn has created problem. No need to worry. As you have given attention during your testing you have felt less erection. Hope I have answered your query, I will be happy to help further. Regards, Dr Chintan Solanki