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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes persistent lack of erection in a young adult?

Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Posted on Mon, 22 Aug 2016 in Urinary and Bladder Problems
Question: Hii i 26 year old
My pennies not standing last 4 days
What can i. Do
When i was sleeping .
Automotically standing
doctor
Answered by Dr. Chintan Solanki 3 hours later
Brief Answer:
it is not a major concern, provide more details

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us. I can understand your concern.

No erection since 4 days is not a major issue. It can happen due to stress, fatigue or performance anxiety. During sleep automatic erection is present means there is no physical problem.

To help you further, I need to know few more details:

- Are you married?
If yes duration of marriage?

If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?

- How did the problem start? Any specific incidence was there?

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

- Do you have any physical illness?

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

- Is there any history of smoking or alcohol?

- Is there any difficulty in urinating?

- When did you do successful intercourse/masturbation last?

- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?

- What did happen in last 4 days, let me know in brief.

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Chintan Solanki 47 minutes later
Thanks
Em not married
I tried masturbation but not standing
No smoking no alcohol no specific incidents
4 days before i tried masturbation success
No difficulty urinating

Plz reply
Ur right i stress
doctor
Answered by Dr. Chintan Solanki 14 hours later
Brief Answer:
wait for 3-4 days

Detailed Answer:
Hi,

Thanks for information and sorry for delayed response due to busy social Sunday.

From history it is clear that you do not have physical problem. You have just experience of masturbation only. Many males suffer from such kind of temporary disturbance in erection. In such case avoid thinking about erection as well as masturbation for 3-4 days. After that when feel desire then only try masturbation without any apprehension of erection. You will likely succeed.

Let me know about your stress so I can guide you for dealing with it.

Take care.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Chintan Solanki 2 hours later
Thanks sir
Ths s only i thnk sycological
How do i solve
Ths s only last question
doctor
Answered by Dr. Chintan Solanki 13 hours later
Brief Answer:
it will be solved on its own, just give time to yourself

Detailed Answer:
Hi,

You need not to do anything specially. As I mentioned just give time to yourself and try masturbation later on without being anxious. It will be solved automatically on its own.

If still any query there, I will be happy to answer if not, you can close the discussion and if feasible give your feedback and rating so I can improve my service.

In future if you wish you can contact me directly on this site with following link:
http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page with three follow up questions.

All the best.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki 4 days later
Hii doctor
I tried masterbation but not standing
When i am tried so much fear
Early morning automaticall standing that tym
I tried masterbation my pennies automatically down
I am so worried
Automatically penneies small
doctor
Answered by Dr. Chintan Solanki 2 hours later
Brief Answer:
avoid performance anxiety

Detailed Answer:
Hi,

Thanks for follow up.

Your problem is performance anxiety. As there was morning erection, it is conformed that there is no physical problem.
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 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.
You are likely facing the same.
Try to enjoy without being conscious about erection.

First of all remove the fear that you have major problem. Try masturbation only when some erotic feelings come in mind and you feel desire for that. Do not go for masturbation to check that you have proper erection or not. While doing masturbation keep yourself relax, concentrate and enjoy the stimuli (thought, video or picture) without being conscious about erection. If you can follow this, you will succeed for sure.

All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki 3 days later
I feel i want to do
No performance
To much fear
No erotic feeling no mood

How to solve ths
doctor
Answered by Dr. Chintan Solanki 12 hours later
Brief Answer:
You can start tetrafol plus

Detailed Answer:
Hi XXXXXXX

You can start tetrafol plus for a while.It is a medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60 patients of mine with erectile dysfunction. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

And above all keep in mind that there is no major problem, you can perform, only anxiety is the problem.

Even after multiple attempts if you cannot, medicines are there to get quick results.You can take 5- PDE inhibitor group of medicines like sildenafil or tadalafil. It is proven drug for male erectile dysfunction and some reports of success in female also. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check-up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki 5 hours later
Thanks
Today i Watch sex vedio
My pennies standing
pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)
Can i take ths vitamin
i mean zaroori hai kya
doctor
Answered by Dr. Chintan Solanki 9 minutes later
Brief Answer:
not necessary that you should take supplement

Detailed Answer:
Hi,

Thanks for asking your doubt.

No in your case it is not necessary that you should take mentioned supplement. I have mentioned it to improve your confidence. You have erection with proper stimuli(sex video). Just carry on, it is just psychological problem. Do not think much about problem and try to enjoy masturbation whenever you feel to do so without being conscious about erection.

Hope you will be completely fine soon.

If still any query there, I will be happy to answer if not, you can close the discussion and if feasible give your feedback and rating so I can improve my service.

In future if you wish you can contact me directly on this site with following link:
http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page with three follow up questions.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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