Suggest Treatment For Erectile Dysfunction

Brief Answer:
Clarification

Detailed Answer:
Hello
Thanks for using Healthcare Magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.

I wanted a clarification here. When you say there is a probelm in erection, do you mean to say that you are not able to have an erection or is it that you get an erection and loose it mid way.

Also how is the quality of erection while masturbating?
And also do you get an erection when you wake up in the morning?

Please let me know the details.
Kind regards
Dr Srikanth Reddy

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Brief Answer:
It seems to be psychological

Detailed Answer:
Hello
Thanks for the details.
I feel it could be due to psychological causes and not due to any physical cause. Sensate focus therapy is a good option to reduce this performance anxiety. In this therapy person should not make insertion as a part of sex and instead have only foreplay with no compulsion for sex for 1-2 weeks so that the patient becomes comfortable with the sex. During this phase the female partner should not touch the genitals of the patient. Now that the compulsion to have sex is solved and hence the confidence improves. I suggest some of my patients to even use aromatic oils for increasing the pleasure. After 2 weeks, you may begin with permission to touch the genitals but still not the actual intercourse. Then after 2 weeks, intercourse may be initiated. This may help in improving the erectile dysfunction.

Sildenafil can be useful but then it would just cover the illness rather than treat the illness. You may explore sildenafil in the doses of 50mg 2-4 hours before sex provided the cardiac condition is good.

Hope this helps.
In case if yuyr have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy MD

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