Brief Answer:
yes overweight may be playing role

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

Your body mass index is 29 and according to that you are overweight. This much body fat affects some hormones. Your chest is big means there should be fat deposition.One other factor is you are attracted towards males.It is also surprising that you are avoiding sex thought there is love marriage.

I need more details to help you further.

- During masturbation what was your usual stimulation boys or girls?

- Do you feel aroused during foreplay with your wife?

- When do you feel more aroused by seeing nakes men or women or both?

- How did problem started? Any specific incidence was there?

- Do you pay more attention to erection while trying for intercourse or masturbation?

- Do you have any physical illness, specifically diabetes or high blood pressure?

- Is there any history of smoking, tobacco or alcohol?

- Is there any difficulty in urinating?

- How is relationship with your partner? Any emotional or social problem is there?

- Is morning erection present?

- When did you do your last successful sex/masturbation?

- What is exact duration of marriage life? Is there any problem from your wife's point of view? How does she react when you denies for sex?

- Do you masturbate in present ? If yes how is the experience?

- If feasible please upload your chest photograph.

I will be happy to help further after your response.

Regards,

Dr.Chintan Solanki.

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Brief Answer:
hormonal check up and counseling is needed

Detailed Answer:
Hello,

Thanks for information and photographs.

You need to undergo serum prolactin, testosterone and thyroid hormones level to rule the possibility of gynecomastia.

Your psychology about sex seems to be straightforward but feeling yourself as a girl is not normal. You need to change that thinking.

Concentrating on erection while doing sex/masturbation leads to performance anxiety and problem in erection.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.

Now onward try enjoy masturbation without thinking about erection. Orgasm matters much than erection.

Your morning erections are normal. You can masturbate and enjoy. You do not have any physical illness. From these I can say you do not have serious physical problem and your erection problem is psychological.

Overweight and hormonal disturbances (if present) can affect erection.

You need to reduce weight at least 15 Kg. For that you need to create calorie deficit. This can be done by reducing intake of food and doing exercises regularly (specifically jogging). This will make you fit, healthy and improve your erection also.

Please revert back to me with hormone reports.

Take care.

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Brief Answer:
masturbation is normal and safe thing

Detailed Answer:
Hi,

Thanks for questions.

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.


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

To change your thinking you need to be evaluated in detail by a psychologist/psychiatrist. Your detail history since childhood and other aspects of life are needed. On your own you should just stop doing masturbation by thinking that and try to enjoy masturbation by thinking normal (like you are a man) and see that you are able to do or not. If you can enjoy, just continue the same and gradually you will learn that and forget enjoying by thinking as a girl.

Yes viagra will help. However I think you can do without viagra. Wait, give yourself time and see the results. In any case in future you will fail after multiple attempts; viagra there to get confidence.

All the best.

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