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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erectile Dysfunction

Hello doctor. I am having a problem when i get intimate with my girl Whenever she and i are getting engaged my penis is not at all expanding (getting hard) I am scared and need help asap But when in the morning i wake up its hard as it used to be and when i go to pee it comes back to normal But when i try to make sex with her it aint responding What should i do;(
Mon, 21 Sep 2015
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General & Family Physician 's  Response
Dr. Hanif warmly welcomes you!

Thanks for consulting at my virtual clinic HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.


What you are suffering from is known as Sexual Performance Anxiety and it is a major reason for erectile dysfunction in men who otherwise are healthy.

Ask yourself some queries and if there is any one of them really present in your relationship, it means a lot medically and you need to reconsider and may be you need a detailed medical help:-
Are you worried about your body shape, weight gain, height, age???
It spoils the sexual intimacy. You remain preoccupied always and never enjoy the sex. It is not just a physical relation it has a lot to do with emotions and a bond of two souls where there is no importance of the physical appearances.


Are you worried about premature ejaculation?
Are you worried, you may not get fully erect while on the play??
This leads actually to a negative vicious circle and that leads to more and more problems and you get more loose erections.

Do you have some relationship adjustment issues??
Have you tried having sex at some different time of the day or night than usually you have this intimate relation??


Why these questions are important is that:
If your mind is preoccupied and anyone of the above fears are in your mind, you will be unable to get out of intimacy and your performance will be definitely lost and erection is the core part of this relation.
Actually fear in our brain leads to production of some chemicals that make you remain aroused and decrease the sexual performance.


Some medications e.g. blood pressure, depression, anxiety medicines and many more, lead to weak erections.

Helpful for you will be:-
Meditation, yoga, jogging, cycling, swimming, balanced diet, plenty of clean drinking water, multivitamins with zinc in it, avoiding stresses, solving the relationship issues,

Lab work needed:-
checking for your thyroid profile and fasting lipid profile
fasting blood sugar levels to screen for diabetes which is also a big reason for the issue in men.


If you need further assistant rewrite your question after reading the above suggestions and put up a follow up query. I will be there to help you in no time.

Hope I answered all of your questions. Please don't forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too to let me know if you have any doubts & need further assistance. I am available 24/7 for your help. Have a blessed time ahead.

Regards!
DR. MUHAMMAD HANIF
USA
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Suggest Treatment For Erectile Dysfunction

Dr. Hanif warmly welcomes you! Thanks for consulting at my virtual clinic HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns. What you are suffering from is known as Sexual Performance Anxiety and it is a major reason for erectile dysfunction in men who otherwise are healthy. Ask yourself some queries and if there is any one of them really present in your relationship, it means a lot medically and you need to reconsider and may be you need a detailed medical help:- Are you worried about your body shape, weight gain, height, age??? It spoils the sexual intimacy. You remain preoccupied always and never enjoy the sex. It is not just a physical relation it has a lot to do with emotions and a bond of two souls where there is no importance of the physical appearances. Are you worried about premature ejaculation? Are you worried, you may not get fully erect while on the play?? This leads actually to a negative vicious circle and that leads to more and more problems and you get more loose erections. Do you have some relationship adjustment issues?? Have you tried having sex at some different time of the day or night than usually you have this intimate relation?? Why these questions are important is that: If your mind is preoccupied and anyone of the above fears are in your mind, you will be unable to get out of intimacy and your performance will be definitely lost and erection is the core part of this relation. Actually fear in our brain leads to production of some chemicals that make you remain aroused and decrease the sexual performance. Some medications e.g. blood pressure, depression, anxiety medicines and many more, lead to weak erections. Helpful for you will be:- Meditation, yoga, jogging, cycling, swimming, balanced diet, plenty of clean drinking water, multivitamins with zinc in it, avoiding stresses, solving the relationship issues, Lab work needed:- checking for your thyroid profile and fasting lipid profile fasting blood sugar levels to screen for diabetes which is also a big reason for the issue in men. If you need further assistant rewrite your question after reading the above suggestions and put up a follow up query. I will be there to help you in no time. Hope I answered all of your questions. Please don t forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too to let me know if you have any doubts & need further assistance. I am available 24/7 for your help. Have a blessed time ahead. Regards! DR. MUHAMMAD HANIF USA