Suggest Treatment For Erection Problems

Dear service user, Thank you for contacting Healthcaremagic. I have gone through your question and understand your concerns. Let me know whether he can achieve and maintain a good quality of erection during sleep, in the early morning, during masturbation but not at the time of coitus? If he is able to achieve and maintain erection in any one of the above mentioned situations than his problem is more likely psychological rather than physical. Sex is largely what happens between two ears and not that happens between two legs. An occasional episode of erectile failure due to functional or situational reasons like fatigue, tension or own pressure to perform rather to enjoy is very common. This diminishes arousal level and hence erection too. This failure of erection makes one feel I should perform best and he tries to erect’. This in turn further leads to lack of erection. Some common causes of erectile dysfunction are:- 1. Diabetes 2. Some medicines like anti depressants and anti psychotics 3. Hypertension 3. Performance anxiety (the most common reason) 4. Alcohol use 5. Smoking When similar patients come to my clinic I prescribe them Sildenafil 50 to 100 mg to be taken 1 hour before anticipated sexual activity. But it should be taken only under medical supervision as it can be harmful if taken in extra dose than needed. This helps together with behavior therapy. I suggest consulting a psychiatrist for the same. The problem can be overcome with successful treatment. Wish you good health.