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What Causes Painful Masturbation And Lack Of Erection?

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Posted on Mon, 22 Dec 2014
Question: hi am 23 year old male . . . tried to masturbate . . but i lack erection and I get pain . . . please do help. . . I tried to mate with my girlfriend . but I was not able to intercourse with her. and my penis goes in a cross way while get little bit erection !!
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (14 minutes later)
Brief Answer:
Wait for periods without medicines
I understand that you are facing an erection problem which is very embarrassing at this stage.
Before we can make any conclusions I request you to provide following details so an impression can be made about the cause of problem.

1. What is the duration of problem?
2. How the problem started whether it was sudden in onset or build up slowly over the months or years
3. Frequency of the problem in a week or
4. In a typical month out of what number of sexual interactions/masturbations was failure
5. What are the factors that increase the problem in with your partner?
6. Factors that relieve the problem- thoughts, situations, partner, place etc
7. Do you get early morning erection?
8. If yes how frequent
9. Your relationship status and partner details- Is she very critical, demands sex more than what can you think, does she feel superior to you or bothers you in some other regards
10. Effect on your relationship so far
11. Details of medical illness, if any
12. Medications you are receiving currently, if any
13. Do you had the history of masturbation / intercourse in past? If yes, give me details
14. Do you have any psychiatric illness?
15. What do you mean by "my penis goes in a cross"?

Once I get following details I will revert back to you with possible explanation or likely cause of the problem. I like to inform you that with proper treatment you can have normal sex life and not to worry excessively.
Thanks and regards

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (16 hours later)
1. duration of problem might b an year
2. i guess problem started after i got hit by ball while playing cricket or might be after lots of masturbating
3 . I don attain erection itself
4 .its been long time i had successfull masturbation
5.I just had tried twice to intercourse with my girlfriend .failed might be due to fear of guilty
6.might b i n my patner werent ready to mate
7.yeah sometimes very rare i get morning erection but couldnt cum.
8.i get morning erection after i get a deep sleep n very rare
9.now am single. had breakup.
10. no more contact with my gurlfriend
11. not so
12.. no
13. long back might be six months i tried to intercourse n masturbate i try it daily.
14. i feel low n lonely n depressed often. which makes me to indulge in watching porb n masturbate forcibly
15. isorry grammer mistake. u meant tat if so i attain erection my penis doesnt gets staright its goes to towards right hand side..
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (19 minutes later)
Brief Answer:
Please get these investigations done

Detailed Answer:
Dear XXXXXXX
Thanks for reverting to me.

I read all your answers with keen interest and understand that the problem is not simple one and need further exploration.

At this moment there are two possible explanations about the erection problem.
Firstly it is possible that psychological factors are important contributor in current problem. This is evident by fear of guilt, anxiety and feeling depressed over last few months. This cause is very common among your age individuals due to lack of knowledge.
Secondly it is possible that you have some organic problem although as per available details chance is very low. Having said this for detection of organic problem I request you to get following reports from a nearby laboratory in your city.
1. Serum testostrerone
2. LH, FSH
3. Serum prolactin
4. TSH, T3, T4
5. Penile Doppler study
6. Lipid profile
7. Complete blood count
8. Semen analysis


At this stage I request you to do following things
1. Meet a psychiatrist in your city for evaluation of depression and its treatment
2. Get the blood and laboratory reports and do report to me.

As I said earlier stop worrying about it. It is treatable with right medications.
Thanks and regards
Dr Ashok Kumar
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3347 Questions

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What Causes Painful Masturbation And Lack Of Erection?

Brief Answer: Wait for periods without medicines I understand that you are facing an erection problem which is very embarrassing at this stage. Before we can make any conclusions I request you to provide following details so an impression can be made about the cause of problem. 1. What is the duration of problem? 2. How the problem started whether it was sudden in onset or build up slowly over the months or years 3. Frequency of the problem in a week or 4. In a typical month out of what number of sexual interactions/masturbations was failure 5. What are the factors that increase the problem in with your partner? 6. Factors that relieve the problem- thoughts, situations, partner, place etc 7. Do you get early morning erection? 8. If yes how frequent 9. Your relationship status and partner details- Is she very critical, demands sex more than what can you think, does she feel superior to you or bothers you in some other regards 10. Effect on your relationship so far 11. Details of medical illness, if any 12. Medications you are receiving currently, if any 13. Do you had the history of masturbation / intercourse in past? If yes, give me details 14. Do you have any psychiatric illness? 15. What do you mean by "my penis goes in a cross"? Once I get following details I will revert back to you with possible explanation or likely cause of the problem. I like to inform you that with proper treatment you can have normal sex life and not to worry excessively. Thanks and regards