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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Erectile Dysfunction

hi I am in relationship but I have some fetishes of humiliation and female domination type. But personally I dont want to act my fantasies out. I told my gf she said its ok. I do get erect with normal touches and kisses but then it softens as soon as I undress her may be due to nervousness of failure and sometimes i need to fantasise about my pervertism to reach orgasm. I am 22 i am from India conservative culture. I know whenever i kiss or touch some girl i dont have erection issues but when i try to have sex it softens when we open our clothes or sometimes after wearing condoms . I tried sex 3 times and I had failure. I want some help so that my interest for normal sex which i do have goes high so that I dont need to think about perversion to reach orgasm or to get hard. And i can able to have normal sexual relationship with the woman i love. And each time I fail it affects my confidence and makes me nervous as embarashment of failure kills me. And i do have fetish from childhood I want desperate help.
Tue, 31 Jul 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would advise you to check your sustainability of erection by a simple test called NPT penile tumescence in which erections occur in the early morning during sleep which can rule out any problem. If it is normal, there is nothing to worry it is unlikely that you are suffering from any erection problem. So, I can say that you might be stressful with your busy schedule to try to spend some time with your partner to get rid of any understanding problems or anxiety. I would advise you to follow a simple method called Master and Johnson technique which would certainly help you. In that, the lady partner has to make some signal or she can squeeze (squeezing technique) the penis forward just before you ejaculates, which would make your erection to last longer and sexual satisfaction would be better. This method is very effective but it takes little time for the couple to get appropriate result in it, so be patient and be relaxed. The other advise I can suggest is, if you are anxious and stressed you may need to take anti-anxiety drugs like Escitalopram (prescription based medication) which would help to get relief from anxiety and fear. Still is it is not better, you can take Sildenafil tablets. So please follow these techniques and consultant your Psychiatrist for further guidance.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Soujanya
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Suggest Remedy For Erectile Dysfunction

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would advise you to check your sustainability of erection by a simple test called NPT penile tumescence in which erections occur in the early morning during sleep which can rule out any problem. If it is normal, there is nothing to worry it is unlikely that you are suffering from any erection problem. So, I can say that you might be stressful with your busy schedule to try to spend some time with your partner to get rid of any understanding problems or anxiety. I would advise you to follow a simple method called Master and Johnson technique which would certainly help you. In that, the lady partner has to make some signal or she can squeeze (squeezing technique) the penis forward just before you ejaculates, which would make your erection to last longer and sexual satisfaction would be better. This method is very effective but it takes little time for the couple to get appropriate result in it, so be patient and be relaxed. The other advise I can suggest is, if you are anxious and stressed you may need to take anti-anxiety drugs like Escitalopram (prescription based medication) which would help to get relief from anxiety and fear. Still is it is not better, you can take Sildenafil tablets. So please follow these techniques and consultant your Psychiatrist for further guidance. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Soujanya