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Suggest Treatment For Severe Anxiety
Posted on
Mon, 3 Apr 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 3 Apr 2017
Answered on
Thu, 27 Apr 2017
Last reviewed on
Question : Hello Dr.,
Recently, I faced strange issue while having Sex first time. I didn't got erection at that time.
I am not sure whether it was due to the mental pressure / anxiety but I am very puzzled after that. I browsed on internet and I came to know about ED problem. I am not sure how to treat this or If I really having this issue or not?
Please suggest.
Regards,
xxxxxx
Recently, I faced strange issue while having Sex first time. I didn't got erection at that time.
I am not sure whether it was due to the mental pressure / anxiety but I am very puzzled after that. I browsed on internet and I came to know about ED problem. I am not sure how to treat this or If I really having this issue or not?
Please suggest.
Regards,
xxxxxx
Brief Answer:
It is normal
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
Occasional failure is norm of the life and I do not think sex is different thing in this regard. However we attach so much significance to sexual function and excessive thinking about it adds to problem rather than helping.
Failure during first time is very common as there is fear of many factors and performance issues.
If you have normal erection while masturbating, have morning wood I do not think you suffer with ED.
I hope this helps you.
Thanks again
It is normal
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
Occasional failure is norm of the life and I do not think sex is different thing in this regard. However we attach so much significance to sexual function and excessive thinking about it adds to problem rather than helping.
Failure during first time is very common as there is fear of many factors and performance issues.
If you have normal erection while masturbating, have morning wood I do not think you suffer with ED.
I hope this helps you.
Thanks again
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr.,
Thanks for your quick reply.
1. Yes, I used to masturbate, but from long time i left it by using hand. I masturbate by lie on stomach. Since that incident I stopped masturbating.
2. I am not sure if erection was good or not while masturbating. also I am not sure if erection time was good enough or not.
On that day while having first sex, I took one Tadalafil Megalis Tablet on suggestion of one friend but even after using that I faced erection issue.
I accept on that day I was under mental pressure / anxiety that's why I also feel that, this could be the possible reason but I just want to avoid any other possibility for my mental sanctification.
From that day I feel I am not getting a normal morning wood or erection, may be it is just mentally.
Please suggest.
Regards,
xxxxxx
Thanks for your quick reply.
1. Yes, I used to masturbate, but from long time i left it by using hand. I masturbate by lie on stomach. Since that incident I stopped masturbating.
2. I am not sure if erection was good or not while masturbating. also I am not sure if erection time was good enough or not.
On that day while having first sex, I took one Tadalafil Megalis Tablet on suggestion of one friend but even after using that I faced erection issue.
I accept on that day I was under mental pressure / anxiety that's why I also feel that, this could be the possible reason but I just want to avoid any other possibility for my mental sanctification.
From that day I feel I am not getting a normal morning wood or erection, may be it is just mentally.
Please suggest.
Regards,
xxxxxx
Brief Answer:
Follow up
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
What you described above is again indicative of psychological cause for poor performance.
Below here I am delineating few of the strategies which will help you in the erection problem.
Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual indequacy, self-doubts, guilt, past negative sexual experiences, poor communication / understanding with the partner, etc. can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will definitely help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy and love. So, just involve yourself in those feelings and stop focussing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve.
Most importantly, performance anxiety soon becomes a "vicious cycle" That is, anxiety leads to poor performance and poor performance then leads to further anxiety and this keeps on increasing. In my view this vicious cycle already established in your case and there is definite need to break it altogether and take control of yourself.
One more problem responsible for psychogenic ED is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly, but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you don't have to be constantly anxious if you are satisfying your partner or not.
Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused.
Wish you all the best in your sexual health.
I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Follow up
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
What you described above is again indicative of psychological cause for poor performance.
Below here I am delineating few of the strategies which will help you in the erection problem.
Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual indequacy, self-doubts, guilt, past negative sexual experiences, poor communication / understanding with the partner, etc. can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will definitely help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy and love. So, just involve yourself in those feelings and stop focussing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve.
Most importantly, performance anxiety soon becomes a "vicious cycle" That is, anxiety leads to poor performance and poor performance then leads to further anxiety and this keeps on increasing. In my view this vicious cycle already established in your case and there is definite need to break it altogether and take control of yourself.
One more problem responsible for psychogenic ED is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly, but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you don't have to be constantly anxious if you are satisfying your partner or not.
Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused.
Wish you all the best in your sexual health.
I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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