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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Erectile Dysfunction?

Dear sir, My self Mukesh Kr. Age-40, presently suffering from some problem as and when i am going to do the sex with wife , my panish is not work properly due to weakness & not hard & the size of the same is day by day lowest. pls. advice me for some medicine, so that i can do the sex properly .
posted on Thu, 13 Mar 2014
Twitter Wed, 8 Jun 2016 Answered on
Twitter Wed, 8 Jun 2016 Last reviewed on
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Psychiatrist,  's  Response
Dear Mukesh
Thanks for contacting Healthcaremagic.

I have gone through your question and understand your concerns regarding insufficient erections as compared to previous acts.

Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical.

There are several causes of insufficient erections. The common reasons are
1. Diabetes (nerve damage and vessels narrowing)
2. Some medicines like anti depressants and anti psychotics
3. Performance anxiety (the most common reason)
4. Psychiatric disorders (depression, anxiety)
5. Alcohol use (nerve damage and testicular injury)
6. Smoking (vessels narrowing)
7. after some surgical procedures (nerve damage).

I recommend you to see a trained psychiatrist who is well versed with psychosexual therapies.
There are potential effective treatment options for erectile dysfunctions.
There are effective behavior therapies and medications for premature ejaculation.
A psychiatrist will help you to find BEST SUITED FOR YOU.

I hope this will help you.
Get well soon. Wish you good sexual health ahead.
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What Causes Erectile Dysfunction?

Dear Mukesh Thanks for contacting Healthcaremagic. I have gone through your question and understand your concerns regarding insufficient erections as compared to previous acts. Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical. There are several causes of insufficient erections. The common reasons are 1. Diabetes (nerve damage and vessels narrowing) 2. Some medicines like anti depressants and anti psychotics 3. Performance anxiety (the most common reason) 4. Psychiatric disorders (depression, anxiety) 5. Alcohol use (nerve damage and testicular injury) 6. Smoking (vessels narrowing) 7. after some surgical procedures (nerve damage). I recommend you to see a trained psychiatrist who is well versed with psychosexual therapies. There are potential effective treatment options for erectile dysfunctions. There are effective behavior therapies and medications for premature ejaculation. A psychiatrist will help you to find BEST SUITED FOR YOU. I hope this will help you. Get well soon. Wish you good sexual health ahead.