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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Erectile Dysfunction

I'm 19 and for the past couple of months I have noticed that I have a difficult time achieving an erection. When I do get one, it takes a long time to get there and it is not very hard, and often goes limp rather quickly. There have been exceptions whilst masturbating where I have managed to achieve a full erection but I do have a very tough time achieving an erection when I want one. I get less random erections throughout the day and I don't think I had one at all this morning. I do not smoke, only drink a little and I'm very fit and active. I haven't been with a girl since I noticed this problem but a close friend of mine is coming to stay with me at the end of the week and she will be expecting us to have sex (and I want to!) but the thought of this problem coming up is making me anxious because I dont know what to tell her if I can't get it up :( It's pretty much on my mind all the time now :/ I can't remember the last time I saw something sexual that would normally give me an erection, and actually gotten one there and then :(
Wed, 28 Feb 2018
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Psychiatrist,  's  Response
Hello,

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 Johnson 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 the appropriate result in it, so be patient and be relaxed. The other advice 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.

Still is it is not better, you can take sildenafil tablets. So please follow these techniques and consultant your psychiatrist for further guidance.


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

Regards,
 Dr. Soujanya
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Suggest Medication For Erectile Dysfunction

Hello, 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 Johnson 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 the appropriate result in it, so be patient and be relaxed. The other advice 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. Still is it is not better, you can take sildenafil tablets. So please follow these techniques and consultant your psychiatrist for further guidance. Hope I have answered your query. Let me know if I can assist you further. Regards,  Dr. Soujanya