Brief Answer:
Need couple counselling

Detailed Answer:
Hello,

Thanks for writing to us. I can understand your concern.
Many couples like you face difficulty in initial sex life.
Perofmacne anxiety can play a big role.

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/ejaculation 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 with or without ejaculation.

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.
Treatment of Erectile dysfunction:

Medical treatment for ED:

5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects.
However in young age it is only indicated after proper sex counselling and performance anxiety reduction are tried sufficiently. You have to consult local doctor for prescription.


Another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients.

Ayurvedic supplement is also there.


There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

For your partner following are important. Just make her read this.

Hymen is a thin layer of skin which is just inside vagina (2 inch deep). You can learn more about this on internet easily with figures. You can feel your own hymen by inserting your little clean finger. In few females hymen broken out due to some injury in early age or during sports or in its own. Female feels pain only during initial intercourse when hymen is more intact.
Many females like you suffer form problem in initial sex life. First of all you need to relax yourself about sex life. In some females until hymen is completely broken there is pain for -3-4 intercourse. Later on there will be no pain. Even in some females there is no pain at all with first attempt of sex. And many do not feel any hymen breaking as hymen is already broken.
If hymen is intact, there may be some spots of bleeding when it breaks during first intercourse.
You can take pain killer medicine like diclofenac or ibuprofen before 2 hours of sex to prevent pain. After initial experience you will also learn that pain is pleasurable overall.
You can spare more time in foreplay (this is the time when husband wife plays with each other like removes each other clothes and kisses)so you would have enough lubrication inside vagina which helps in preventing pain.
Even after such attempts you feel pain; you can use lignocaine anaesthetic gel. It should be applied before sex. However it may affect orgasm also you may not have any feelings at all. Your husband may also feel difficulty in orgasm if lignocaine gel comes in contact with penis. Better that he uses condom when you use lignocaine gel.
Finally if you would not succeed at all better to consult some psychiatrist/sexologist with your husband for detail sex couple counselling and treatment.
In conclusion you should remain relax and try to enjoy when your husband try to his erect penis inside your vagina. Allow him without apprehension of pain. After 2-3 intercourse you will be able to enjoy. With practice you will have god sex life.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr Chintan Solanki.

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Brief Answer:
then go fro 5 pde inhibitor group of drug to get the confidence

Detailed Answer:
Hi,

Thanks for follow up.

Actually there is no specific method to avoid such thoughts except understanding and enjoying the sex as I told. However you of course can take the help of 5_PDe inhibitor group of medicines like tadalafil to get the confidence.

Psychiatrist is by degree a sexologist also and used to deal with such problems. He would hear you patiently and guide you in right direction. So you can consult any local psychiatrist.

Yes tetrafol plus is vitamin product and there won't be any side effects.

Feel free to ask if still any query is there.

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