Question: Dear Sir,
I am XXXX at 36 yrs, height 6ft, weight 75kgs, unmarried. I am suffering from very poor confidence in erection since my early 20s.
When I was 14 I started a practice of sex with bed means I used to press my penis against bed as if I lie over a woman. As I apply back forth motion my penis erected. I continued such process of apparent having sex against bed until the penis gave the feeling of ejaculation. While performing I used to imagine my women of choice. I continued that practice for 3-4 years. At one stage I became very weak and my urge for the practice of bed sex declined to none.
Several times I took treatment to recover from the feeling of declined sex appeal. During treatment I used to get huge continuous erection and strong desire for practical sex. Such urge during medication becomes so uncontrollable that it remained erected for 2-3 days but I never masturbated again. Once stopped taking medicine my frequency of erection declined gradually day by day. Eventually it seemed to me that my penis is not strong enough to have sex with women. But I have never had practical experiences of sex.
Each time doctors mostly prescribed different variations of A-Z multivitamin tablets for 2-3 months with some additional medicines. I even tried herbal treatment but results were similar means sudden increase in sexual desire for some days then gradually decreases.
At this age I do not feel the courage to get married because I got the feeling that my penis is very small. Even if sometimes my penis erects it ejaculates in 1-2 minutes. Also I get irregular night falls. It might happen twice in a week or may be 3-4 times a month.
Now I have no confidence to undertake marriage because I feel my penis will not erect before a women in bed. Also have suspicion even if it erects it will ejaculate in less than one minute before entering vagina. Also feel it will not get hard enough to be able to insert. I feel as if I am scared about marriage.
I do not even feel the urge to masturbate since my problem started except during medication. Most of the times when my penis gets slightest erection inside underwear it give marks of secreted semen.
I also feel that watching sensitive parts of young beautiful women does not generate strong sexual feeling in me because I do not feel to masturbate after seeing beautiful women.
This problem with erection sustenance is increasing my stress and anxiety which ultimately negatively affecting my desire for erection that is creating a feeling in me that my penis has become too small and too weak.
I did ultra sonogram of penis and testis according to recommendation of a sex specialist the results showed they are normal in size.
Also I did a sex related hormone test according to recommendations of a medicine specialist. Those results were also good.
Would you please suggest probable treatment, including doses and duration, for me to help restore my sexual capability? Is it treatable in Bangladesh?

Best Regards,
XXXXXXX

Dear Sir,

Thank you for answering my query.

As you have suggested, I will try to meet a sexologist in Dhaka at the earliest may be within days. There is a common complain about specialist doctors in XXXXXXX with some exception that they do not put proper attention to the patients’ concerns when they meet. Most of Them spent less with patients’ during consultation and are less friendly.

My country is self reliant in producing more than 95% of our annual domestic requirement of medicine. Although we export medicine products to many countries in XXXXXXX Latin XXXXXXX and even Europe some people allege that our medicines are less effective than those produced in the USA, EU, and Canada etc.

Considering the above scenarios I would like to know the opinion of a sexologist regarding my problems from your end before I meet a sexologist in my city Dhaka. I thing that will be helpful for me since Heathcaremagic.com specialists have much more experience, expertise and exposer than Bangladeshi doctors.

Also I would like to know the specifics about some reputed XXXXXXX USA, EU or Canadian medicines which might be needed for my treatment.

Once I could meet a sexologist in Dhaka I will come back to healthcare.com with the issued prescription and diagnostic test results if the doctor recommends any test. I want to take foreign equivalents of our local medicines.

Best Regards,

XXXXXXX