Hello dear
I understand your concern
Your symptoms could be due to medical cause and psychological issue
Medical cause like diabetes,
hypertension, excessive smoking and alcohol, low testosterone, obesity.
But at your age, it is mainly due to psychological issues like -
anxiety about the performance failures
anxiety about partner's satisfaction,
ongoing stress at home and at work place(if any),
Excessive fatigue predispose to
erectile dysfunction.
I would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, serum
testosterone level,
Ultrasound pelvis and scrotum.
If all of those investigation results comes within normal range, then you should go for
sexual counselling and
psychotherapy by visiting a psychiatrist
Meanwhile , following advises will help you:
Do regular exercise like walking, yoga, kegel exercise, breathing exercises.
Do ejaculation purposefully before the intercourse, use double condom or condom with
lidocaine gel, try women on top position,
Free communication and mutual understanding with partner will help.
During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also.
Take high protein diet, drink plenty of water
If problem persists then
Medications like
Tetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 months
Drug like Cialis can be useful too.
Hope this may help you
Contact HCM for further health query
Best regards
Dr. Sagar