Brief Answer:
Will answer one by one.

Detailed Answer:
Hello,
Welcome to HCM.

A) As per your fact that you have posted here, it appears that you have problem of getting good erection while attempting for sexual intercourse or perhaps during masturbation.

This is kind of problems are often due psychological or performance anxiety especially in young boys or men who does sex for the first time in their life.

Also, regarding the problem of Erectile issue, it is either due to,decreased blood supply to the penis or may be performance anxiety.

Below listed measures will help you to boost up your confidence and getting good erection and have enjoyable sex.

1) Do regular exercises for about 30 minutes followed by meditation for 1/2 an hour in the morning that helps in improving concentration & builds up the confidence level. Avoid stress.

2) Take high protein diet rich in diet rich in fruits, vegetables, fish, nuts & honey and also take vitamin A,C,D,E and Zinc.

3) Take anti oxidants like Almonds 5-6 everyday.

4) Avoid alcohol and smoking if you do.

5) Do oil massage of the penis, it increases blood flow & maintains the erection during sex.

Despite these measures, if you experience difficulty, it will be better to rule out other causes like high blood pressure, blood sugar,hormonal problems,vitamin deficiencies and other local causes that impair blood flow to your genital organ.

Although medications like Sildenafil citrate (brand name: Viagra) increases blood flow to the penis & helps to maintain erection, they should be taken under guidance of your doctor to avoid unwanted side effects.

B) For shorter penis:

Size of penis depends on the genetic and racial factors.So, there is no way we can increase the size of penis.

For your information,around 3 to 5 inch size penis is more than enough to satisfy woman during sexual intercourse because initial 2.5 inch vaginal wall or portion is sensitive only and rest of the other vagina is insensitive.

Here,I would advice you to take balanced diet and keep your self healthy and fit to avoid any weakness otherwise there is no medicine available which increases the size of penis.

Wishing you a Healthy Life.

Please let me know if you need any more clarification further. I will be happy to answer that.

Regards,

Dr.Sandip Kabra

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Brief Answer:
Will answer one by one.

Detailed Answer:
Hello,
Thanks for the reply.

1) First of all,I would like to tell you that masturbation is completely normal and it never causes any kind weakness in our body or related to penis erection issue.

If you think so then I would clearly say not to bother about it.
Masturbation has nothing to do with it.

Out side sexual relationships are not advised from medical point of view but they are also not related to erectile problem.

2) Also,penis size depends on the genetic and racial factors.

I am sorry to state you that size of penis can not be increased by any means whether medicines or surgery.

As the size of penis is genetically determined but one thing should be clear that penis size does not determine the potency of an individual.

Vacuum therapy may be helpful in the treatment of erectile issue but I really doubt if it will work for penis enlargement.So,I would not recommend personally vacuum therapy in the interest of penis enlargement.

However, your treating sexologist will guide you better in this.

3) Ayurvedic medicines 'tentex forte' can also be used for to maintain erection during sex and also they are without any side effects.

Another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus in India) is also very helpful for getting good erection.

You can take advise from your treating sexologist regarding erectile issue.

Hope this will help you and ask me if you have more things to clarify.

Regards,

Dr.Sandip

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Brief Answer:
Continue to take treatment with your sexologist.

Detailed Answer:
Hello,
Thanks for your appreciation.

Again I would like to say penis erectile problem is not related to excess masturbation or even sexual overuse or outside sex.So,you should remove from your mind about it.

This erectile issue or dysfunction is completely reversible with appropriate treatment in most of cases especially at young age.

For this, I would advise you to have the following tests:

1) Basic blood tests - including haemoglobin, blood sugar, lipid profile (cholesterol), urea, creatinine, Vitamin B12 / folic acid levels, etc.
2) Testosterone levels - total and free testosterone
3) FSH / LH levels
4) Thyroid function tests
5) Ultrasound Doppler of the penis (to check for any blood flow problems)

These tests will give you a clear picture what your sexual problem is due to - any hormonal problems or any other systemic problems or local problems in the penis.

If there is any medical diagnosis then further treatment can be planned.

Your treating sexologist will better know about it,so you should continue with him without changing your doctor.

Still,if you need anymore help then fee free to ask me.

You can also ask me DIRECT QUERY to physician.I will be happy to answer that.

Regards,

Dr.Sandip Kabra

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