Brief Answer:
it is psycho-sexual problem

Detailed Answer:
Hello XXXX,

Thanks for writing to us. I can understand your concern.

Understand the basic fact that masturbation and sex are almost equal process only technique differs. If you can enjoy one, you can enjoy other also as machinery for both process are same .

Masturbation is natural and normal thing. It is done by 95 of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity.

Initially many young men like you face such problem. This is likely due to initial experience of sex, situation in which sex is done, over excitement with partner and sensitivity glans penis.

Performance anxiety is likely reason in such cases.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.

According to DSM 5 definition, Erectile dysfunction (ED) can be diagnosed when person fails most of the time (say more than 50?) in last 6 months during intercourse. You are able to masturbate that means there is no major issue.

Let me know more,

- 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?

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

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

- Is there any difficulty in urinating?

- When did you do successful intercourse last?

- What is frequency of sex/masturbation?

- Does your penis lose erection before ejaculation?

- how was pleasure/orgasm during masturbation?

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.

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Brief Answer:
performance anxiety and premature ejaculation should be treated

Detailed Answer:
Hi,

Thanks for information. Sorry for delayed response.

There is likely performance anxiety in your case. One thing is clear that you do not have physical problem. You can enjoy during masturbation means everything is fine. You just need to adjust your self in sex.

First of all do not make penis erect with your hand during sex. Allow it to erect automatically during foreplay. 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/ejaculation. You must try to enjoy and only enjoy.

With practice you can surely succeed.

Also avoid masturbation for a while on the days when you do not sex.

I also recommend taking clomipramine to prevent early ejaculation. You can take it with doctor's prescription. No significant side effect of it.

You just need to adjust with different technique of arousal (sex) apart from masturbation. Detail couple sex counseling can also help if you can consult any psychiatrist/qualified sexologist locally.

Feel free to discuss further.

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Brief Answer:
yes you are right

Detailed Answer:
Hi,

Yes you got it right.

There is no physical problem. It is just a situational problem. You need to learn with experience and couple counseling an surely help more.

In any case if you are in hurry and want fast result medicines can help.


You can take 5-PDE inhibitor group of drug.
5-PDE inhibitor group of medicines includes sildenafil (viagra) or tadalafil (cialis). It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause 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.

You can do successful sex with help of this medicine and can get confidence. Later on you can try it without medicine.

Take care.

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