Suggest Treatment For Erectile Dysfunction

Brief Answer:
it may be performance anxiety or weakness due to age

Detailed Answer:
Hello,

Thanks for writing to us.

I can understand your concern.

Loosening of erection while entering vagina can be due to performance anxiety.

I want to clarify about the same for your information.

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.

While doing sex keep yourself relax.

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 ejaculation. You must try to enjoy and only enjoy.

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.

Considering age of 65 I want to clarify about some physical problem which may contribute to your erection problem.

- Since when are you suffering from this?

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

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

- When did you do last successful 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?

- I recommend going for serum testosterone level.

- How was response with viagra?

I will be happy to help you further after your response.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
testosterone supplement may help, treat higher prolactin

Detailed Answer:
Hi,

Thanks for follow up and information.

Higher prolactin (hyperprolactinemia) is common cause of erectile dysfunction. Depending upon cause and level it can be treated with bromocriptine or cabergoline. Better to treat it for improvement in your sex life.

You do not have any history of prostate (as no problem in urinating) problem that is good as.

Morning erection though occasionally is present favors that you still has capacity for erection.

Testosterone supplement likely is going to help but before that go for serum level o f testosterone and discuss with your treating doctor.

You can use tadalafil (cialis) instead of viagra.

Feel free to discuss further.

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