Suggest Treatment For Erectile Dysfunction

Brief Answer:
your problem can be treated , provide more details

Detailed Answer:
Hello XXXXX,

Thanks for writing to us.

You seem to have erectile dysfunction (ED).It is absolutely treatable condition. In this young age problem is mostly psychological.

Let me know some information:

- Are you married?
If yes duration of marriage and since when are you suffering from this problem? How was previous sex life?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?

- How did problem started? 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?

- Is there any history of history of smoking or alcohol?

- Is there any difficulty in urinating?

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

- Is there morning erection present?

- Are you able to masturbate?

I will be happy to help further after getting response for treatment aspect.
Regards,

Dr.Chintan Solanki

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Brief Answer:
reduce your performance anxiety, both partners should be relaxed

Detailed Answer:
Hi,

Thanks for information.

I get this type of question frequently from newly married couple.After marriage many couples like you suffer from difficulty in sex life.Sometime it will take 2-3 months to reach to normal sex life. Most of them do not have any physical problem. This happens due to fear or anxiety of either of the partner.

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 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.

In your case initially due to hardness of vagina you failed. But after that thoughts of failure is likely responsible for not getting hard.

At time of sex you both should be relaxed and fresh. If feasible take bath before.
First of all you should give more time in foreplay.This will help in lubrication in vagina as well as relaxation of vaginal muscles. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your wife 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 wife has fear of pain she should be counselled. Initially most of the women get pain in first 2 or 3 intercourse. After that there is almost no pain. Initially you have to apply some force to penetrate deep.If your wife is not able to bear pain, she can take over the counter diclofenac or ibuprofen before 3 ours of sex to tolerate pain.

You can use condom if you are feeling more sensitivity.

Do not worry you will be able to do soon.

Ask your wife if she has any complain/problem and let me know.

Couple sex counselling will be very useful in your case. You can consult psychiatrist/sexologist at local level for the same.

And even after attempts of few weeks if you not succeed , medicines are there to help you.
Even after above measures you cannot succeed, another option is 5-PDE inhibitor group of drug like sildenafil or tadalafil. 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.

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Brief Answer:
you can take if above approach not succeed, following are supplemets

Detailed Answer:
Hi,

Thanks for follow up.

5- PDE inhibitor group of medicines like sildenafil or tadalafil(cialis) are used for erectile dysfunction. One of them should be used 2 hours prior to sex. They causes 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.

In my opinion you should not take the same as you are not in need right now. Still whenever it is needed you can take under doctor's guidance.

You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients.You may get this medicine over the counter as it is vitamin product.You can take it twice a day after meal for 1 month.

Feel free to discuss further.

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Brief Answer:
if feasible wait for 3 weeks

Detailed Answer:
Hello,

If I were your treating doctor I will advise only counselling and behavioral approaches as mentioned previously. If you do not feel satisfactorily improvement in 4 weeks then only start tetrafol plus.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart. So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

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 you can contact me directly on this site if you wish with this link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page

All the best and take care.

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