Brief Answer: Psychogenic ED Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. I think, you have psychogenic erection dysfunction. It happens in number of patients. After premature ejaculation, this is the second most common sexual dysfunction in male. First of all, i want to tell about the basic mechanism that lead good erection. It include sexual thoughts, hormone and good penial circulation. When a person has sexual thoughts in mind, that lead to release of some hormone or chemical in body that increase circulation in penis. This lead to complete erection in penis. In absence of any of one, erection would be incomplete. In your case, i think, lack of desire of sex may be either due to underline stress or lack of initiative from your partner. Remember one thing, sex depends upon sexual thoughts. If you do not maintain sexual thoughts, you would not get desire erection. Just follow few steps.. 1. Increase duration of foreplay. That would increase sexual urge and duration of sex. (Foreplay is also part of sex. Do not under estimate it.) 2. Try to do sex in different position like female on top, lateral position. That would help you to decrease your attention towards erection. In female on top position, your partner would help to seduce you. This variation in position would motivate both of you for sex. 3. Try to do sex in different location at home like while bathing or other location in absence of children. Sometime people become anxious at particular time. That would help you decrease that anxiety. 4. Can try sex in morning time. In morning, male have better erection due to higher level of corticosteroid hormone. 5. Can also try some drugs like tadalafil or paroxetine after consultation of psychiatrist, but remember sex does not depend upon drugs. It is a pleasure that you can get any time and any where. You just need thoughts rather than drugs. 6. If your partner is in favor for sex, then you and your partner can also go for master and XXXXXXX technique. That would help to explore the part of each other body to get arousal. Just follow above steps, in case you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist

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