Brief Answer:
Hi

Detailed Answer:
Hello XXXXXXX
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

In treatment Erectile dysfunction (ED) first step is to identify cause of the problem. Erectile dysfunction can be a result of a psychological or physical problem.

Psychological causes: Most common cause in young patients. These include performance anxiety, emotional weakness, inferiority complex, stress, marital or relationship problems, low mood, feelings of guilt, and the effects of a past sexual and emotional trauma. Men with psychological problem usually have normal nocturnal/early morning erections, whereas men with physical problem often do not. You have many psychological issues which can lead to erectile dysfunction.

Physical causes: Include neurological disorders, alcoholism, smoking, hormonal imbalances, diabetes, hypertension, blood vessel disease, vitamin deficiency and chronic diseases (like you had).

What I can understand from your query is that you are not able to sustain hard erection which is required for intercourse. You are 26 years of age and at this age, any difficulty in getting or maintain an erection is due to psychological reasons in most of the cases.

Following measures will help you:
-First of all, quit smoking and alcohol (if you are taking any)
-Reduce your weight (if you are obese), at-least 2 kg every month, and bring your BMI between 20-25.
-Eat a healthy diet rich in vitamins, minerals and antioxidants: fruits, milk and eggs
-Erection do not get affected by masturbation in long term, even it is good to masturbate 3-5 times in a week without any guilt. As guilt lead to stress, anxiety and depression, which are known to cause ED. So enjoy masturbation before marriage without any guilt and worry. If you have normal erection sometime during masturbation and poor erection during sex it indicate conditioning of body for masturbation, which will solve after few weeks of stoppage of masturbation.
-Have faith in yourself and do not take any stress. You can talk to your partner openly and indulge in plenty of foreplay before sex. As you will worry, your problem will increase further. You can also plan to some short vacation with partner (if available), which will relieve your stress.
-Exercise, particularly aerobic exercise (like: Jogging, skipping and cycling) daily. It will increase blood flow all over body and will reduce stress.

There is also need to rule out certain medical conditions which can affect erection. These include diabetes, high blood pressure, cardiac or thyroid conditions. For that get yourself evaluated.

Apart from that in person evaluation and examination by nearby psychiatrist may be necessary in your case to identify and treat psychological cause of ED, as you already have psychological symptoms (like: stress, anxiety, eyes pain, dry mouth in morning, nightfall, tension, poor sleep and headache).

As you are in XXXXXXX NCR, you can visit me personally also after taking my address from healthcaremagic in XXXXXXX Asia Hospital.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,

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Brief Answer:
Hi

Detailed Answer:
Hello again,
Thanks for follow up.

You have increased heartbeat, palpitation and weakness; which can occur commonly in cardiac illness and anxiety disorder. For treatment get your cardiac evaluation done in form of BP check up, ECG and echocardiography under physician supervision.

Same time you can meet nearby psychiatrist for relaxation therapy like JPMR and medical treatment of anxiety (As medicines are prescription medicines).

Masturbation do not cause weakness, but person may feel weakness due to sexual anxiety and guilt after masturbation. So do not worry about it. You can also start some multivitamins like Capsule Cobadex CZS 2 time a day for weakness.

Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you.

Wish you good health.
Regards

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