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Suggest Treatment For Penetration Difficulty Of The Penis During Intercourse

Posted on Fri, 8 Jul 2016

Question: I am unable to insert my penis into my wife's vagina.I feel that I am not having the fullest eraction during sex also having quick discharge

Answered by Dr. Chintan Solanki (5 hours later)

Brief Answer:
provide more details

Detailed Answer:
Hello,

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

You have problem of inadequate erection and early ejaculation. At age of 32 there is no physical cause in general for such problems. It is mostly psychological. To help you further I need more information.

- Since when problem is there?

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

- Do you have any physical illness, specifically diabetes or high blood pressure? If yes describe details with medicines.

- Do you have any habit of tobacco use, smoking and alcohol? If yes, provide details.

- When did you do your last successful sex?

- Is there any difficulty in urinating?

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

- Is there any stress (social, economical, occupational or emotional) in your life?

- Is morning erection present?

- Are you able to masturbate?

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chintan Solanki (24 minutes later)

I married six month before. Yet I haven't had a successful sex.Not able to insert from the first time.Initially I feel the entrance is very small and she is having unbearable pain during the act.I am also having pain when my foreskin get down and loose my reaction.Now I feel I am not having the fullest reaction. Yeah I can masturbate.Having semi eraction in morning. Previously I was consuming tobaco bt since last 1.5 yr I am not consuming in any form.Not having diabetics or bp..But my parents have.

Answered by Dr. Chintan Solanki (1 hour later)

Brief Answer:
needs couple sex counseling

Detailed Answer:
Hi,

Thanks for information. Even after 6 months you could not do successful sex that is really problematic. You both need couple counseling for sex.

You can masturbate means there is no problem in erection. Your wife has pin while intercourse that can be one of the reasons for your problem.

- What actually happens when you try to insert?

- what is her opinion/problem/complain about intercourse?

- During 6 months have you not consulted any doctor ?

- Have you done any self medications?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chintan Solanki (1 hour later)

Sir,
She is also very interested to enjoy and cooperative. From the first day we are facing problem to insert. She is trying to bear the pain but my eraction gets down. I am also having pain when my foreskin gets back. I can only able to insert one finger inside her. Twice I have tried Suhagra 100 still not able to insert.Now I feel my eraction is not fullest during the act. I have consulted one gynaecologist & he advice it all about in mind and gave some ayurvedic medicine and some gel.I tried the gel yesterday night.Bt I m not having the required eraction..In the morning I masturbate its quite hard..

Plz advice

Answered by Dr. Chintan Solanki (2 hours later)

Brief Answer:
avoid performance anxiety , ask your wife to take pain killer

Detailed Answer:
Hi,

Many couples like you suffer from sex related problems in initial marital life. Almost more than 90% of them only need counseling.

Yes your problem is mostly psychological. Virgin woman have small vaginal orifice and she suffers from pain initially 2-3 intercourse until hymen breaks completely.

Avoid performance anxiety if you have.

Paying attention to erection leads to performance anxiety. Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse/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/ejaculation, erection becomes weak or lost.
Try to enjoy without being conscious about erection or ejaculation.
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.

Spending enough time of foreplay gives sufficient lubrication in vagina. This will help in inserting penis smoothly. She has to relax herself from thoughts of pain. She can take pain killer medicine like diclofenac or ibuprofen before 2 hours of sex to prevent pain. After initial experience she will also learn that pain is pleasurable overall and alter on there will no pain after 3-4 successful intercourse.

I also recommend consulting general surgeon for evaluation of foreskin. Foreskin should be retractable completely behind the glans to enjoy the sex. If it is not or retraction is painful, intervention is needed.

There is also need to consult psychiatrist/sexologist (psychiatrist is by degree a qualified sexologist) for couseling and detail discussion on intercourse method and problems.

You do not need any long term medications for erection. Psycho-sexual counseling of couple can solve the problems.

Take care.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar