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What Causes Difficulty In Maintaining Erection?

Posted on Wed, 5 Sep 2018

Question: I get an erection but not able to maintain that. It is for 10-15 seconds only.

Answered by Dr. Dr. Soujanya (1 hour later)

Brief Answer:
Master and XXXXXXX technique

Detailed Answer:
Hi,

I have gone through your query in detail and can certainly understand your concern and worry.

I would advise you to check your sustainability of erection by a simple test called NPT penile tumescence in which erections occur in the early morning during sleep which can rule out any problem

If it is normal, there is nothing to worry it is unlikely that you are suffering from any erection problem.

So, I can say that you might be stressful with your busy schedule to try to spend some time with your partner to get rid of any understanding problems or anxiety.

I would advise you to follow a simple method called Master and XXXXXXX technique which would certainly help you.

In that, the lady partner has to make some signal or she can squeeze (squeezing technique) the penis forward just before you ejaculates, which would make your erection to last longer and sexual satisfaction would be better.

This method is very effective but it takes little time for the couple to get appropriate result in it, so be patient and be relaxed.

The other advise I can suggest is, if you are anxious and stressed you may need to take anti-anxiety drugs like Escitalopram (prescription based medication) which would help to get relief from anxiety and fear.

I advise you also not to worry too much about your relationship because there might be any other relevant cause that which affecting your sexual performance so please follow these techniques and consultant your Psychiatrist/Psychologist for further guidance.

Hope I have answered your query. Let me know if I can assist you further.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Soujanya (2 days later)

sometimes I get morning erections sometimes I don't. I have been doing masturbation from last 9 years everyday. so this erection maintaining problem is due to that? what's the treatment?

Answered by Dr. Dr. Soujanya (7 hours later)

Brief Answer:
You can take phosphodiesterase inhibitors like sildenafil.

Detailed Answer:
Hi,
Welcome back,
I can understand your concern from the details provided by you.

You have mentioned that you will get erections in your sleep, but please check it how long does it lasts.

Anyway, you can start on Phosphodiesterase inhibitors like Sildenafil, which help in the sustaining of nitric oxide(NO) and maintenance of your erection for long time.

I just wanted to inform you that repeated masturbation may cause thickening of the foreskin of penis, and may effect sexual performance.
But it doesn't occur in all cases. So, as far as your erections are normal, there is nothing to worry.
Simply you can start on Sildenafil ( prescription based medicine).

Hope this information would help you.
Regards.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Soujanya (13 hours later)

thanks for the response. could you also tell me the dosage of the medicine and the medications course duration? and also now a days when I get erection a white transparent liquid starts flowing. It was not the case earlier but now it's happening. is this because some kind of weeknes?

Answered by Dr. Dr. Soujanya (48 minutes later)

Brief Answer:
You can start with 50 mg once a day

Detailed Answer:
Hi,
Welcome back,

I have gone through your query and can suggest you start with 50 mg once a daily dose of Sildenafil, just 1 hour before sexual activity.

Maintenance dose could be from 25-100mg once a day.
You can continue this for at least 3 months for a better response.

Please let me know whether the transparent liquid is associated with any itching or burning.

If not, nothing to worry, mostly it would be normal.

If it persists for a long time, I'd suggest consulting a doctor for further evaluation.
Hope this information is helpful.
Take care.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Soujanya (1 hour later)

thanks for the response..I will start 25 mg dose per day. could you let me know whether it is safe or not like in old age? is there any side effects of this medicine?

Answered by Dr. Dr. Soujanya (4 hours later)

Brief Answer:
Yes, 25 mg starting dose is safe even in old age

Detailed Answer:
Hi,
welcome back,
I have gone through your query and understand that you are worried about side effects of Sildenafil.

There are minimal side effects like nausea, vomiting, diarrhea, dizziness , stomach upset, headache.

But, these effects doesn't occur in all people, as it depends upon their body response to the drug.

Even in elderly people, the starting dose could be 25 mg.

So, nothing to worry, you can start on this drug with prescription from your doctor.

Take care,
Dr. Soujanya

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Raju A.T