Suggest Remedy For Erectile Dysfunction

Brief Answer:
likely it is performance anxiety, need more information

Detailed Answer:
Hello,

Thanks for writing to us.

First of clarification about performance anxiety.

Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.

From history it is likely performance anxiety.
To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.

If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.


Let me know more information.

- What is duration of current marriage?

- When did you do last successful intercourse?

- How was sex life in first marriage?

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

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

- Do you have any physical illness, specifically diabetes or high blood pressure?

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

- Is there morning erection present?

- Is there any history of smoking or alcohol?

- Is there any difficulty in urinating?

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

---

Brief Answer:
it is likely performance anxiety, no major physical problem

Detailed Answer:
Hi,

Thanks for information.

Your history clearly suggests that there is no physical problem. You have restarted sex life after 4 years of long duration. Sometime sex life with new partner takes time fro success.

You do have performance anxiety likely as you are paying attention while doing sex. I have already mentioned about the same in previous answer. Try to enjoy foreplay and sex without being actively conscious about erection. You will succeed soon.

Even after multiple attempts you would not succeed, medicines can help. Low dose clonazepam or lorazepam before 2 hours of sex. This anti-anxiety medicine will reduce your apprehension and make you relax to have successful intercourse.
And another option is 5-PDE inhibitor group of drug like sildenafil or tadalfil . You can take it before 2 hours of sex for good erection. After 3-4 successful attempts you will have confidence and you can do without help of medicines later on.

Feel free to discuss further.

---

Brief Answer:
wait and relax

Detailed Answer:
Hi,

It is good that you have tried and some success is there. I guess your wife has enjoyed fully. Gradually with practice you can control your ejaculation time also. Give yourself more time. If you do masturbation please avoid the same. Allow semen to be collected in your seminal vesicles.

As such there is no medicine for delayed ejaculation. It is treated on the basis of the cause. In your case it is just due to psychological and adjustment problem as you have begun sex life after a big gap.

Go for few more attempts and revert back to me with results. Keep space of 2 or 3 days between intercourse initially to avoid delayed ejaculation.

All the best.

---