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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Erectile Dysfunction?

Hi I am Hitesh Trivedi from Moradabad (U.P.). It has 9 years of my marriage but we did not get our child. The main reason behind this is that on the time of intercourse my panice does not get fully straight. if it becomes fully straight then this situation does not maintain till intercourse end. In other word, my panice become low straight or null straight before intercourse. I thankful to my wife that she is manage this situation from a long time. But I am feeling nervous and guilty my self and this situation force me to do suicide or to to do any thing. i have been taking homeopathy medicine for 6 month. but i did not get results
Wed, 20 Apr 2016
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General & Family Physician,  's  Response
Hi Hitesh Trivedi,
Thanks for posting in HCM.
I have read your description and understand your concern.
The problem you are having with erection is mainly due to associated psychological factors than physical one.
You can overcome this problem by doing the following.
1. Kindly practice 'pause and squeeze' technique, which over a period of time helps you to sustain erection for a longer duration.
2. You need to overcome fear or anxiety by doing meditation regularly to keep your mind calm.
3. Include in your diet - almonds, banana, pineapple, saffron, cardamom, figs, honey and pumpkin.
4. In case you have increased sensation of the penis, use of topical anaesthetic creams and sprays that contain a numbing agents, such as lidocaine or prilocaine will help.
5. Intake of selective serotonin re-uptake inhibitors (SSRIs) such as sertraline would delay ejaculation.
Once you regain your confidence, you should be able to gain good erection gradually and perform better. Later, you may decrease taking medications or take only when it is absolutely necessary.
Other forms of treatment has not proven scientifically to be effective in treating erectile dysfunction.
Hope the information provided would be helpful.
All the best.
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What Causes Erectile Dysfunction?

Hi Hitesh Trivedi, Thanks for posting in HCM. I have read your description and understand your concern. The problem you are having with erection is mainly due to associated psychological factors than physical one. You can overcome this problem by doing the following. 1. Kindly practice pause and squeeze technique, which over a period of time helps you to sustain erection for a longer duration. 2. You need to overcome fear or anxiety by doing meditation regularly to keep your mind calm. 3. Include in your diet - almonds, banana, pineapple, saffron, cardamom, figs, honey and pumpkin. 4. In case you have increased sensation of the penis, use of topical anaesthetic creams and sprays that contain a numbing agents, such as lidocaine or prilocaine will help. 5. Intake of selective serotonin re-uptake inhibitors (SSRIs) such as sertraline would delay ejaculation. Once you regain your confidence, you should be able to gain good erection gradually and perform better. Later, you may decrease taking medications or take only when it is absolutely necessary. Other forms of treatment has not proven scientifically to be effective in treating erectile dysfunction. Hope the information provided would be helpful. All the best.