Erection issue
Dr.
Hello xxxx, Welcome to DocsApp! I am the doctor’s assistant. Before your consultation with the doctor starts, it is important that you answer the following questions.
Dr.
Does this problem occur when you are with a specific person, If yes please select below:
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Wife
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Girlfriend
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Others
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Submit
Does this problem occur when you are with a specific person, If yes please select below: Wife
Dr.
How frequently does this happen, when you engage in Sexual activity?
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1 in 10 times
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1 in 5 times
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1 in 2 times
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Everytime
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Submit
How frequently does this happen, when you engage in Sexual activity? 1 in 5 times
Dr.
Do you have any of the following (Stress, Anxiety, Depression etc.)?
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Stress
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Anxiety
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Depression
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None
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Submit
Do you have any of the following (Stress, Anxiety, Depression etc.)?
None
Dr.
Do you have any of the conidtions (Hypertension, Diabetes, Thyroid, Cardiac problems)?
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Hypertension
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Diabetes
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Thyroid
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Cardiac problems
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None
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Submit
Do you have any of the conidtions (Hypertension, Diabetes, Thyroid, Cardiac problems)?
None
Dr.
Do you take any allergy medication for cold and cough?
Do you take any allergy medication for cold and cough? No
Dr.
Hi xxxx , Dr. xxxx will take up your case.
Thanks! Doctor has received your payment
I am 37 year old and I have issue in erection during intercourse
Dr.
Good Afternoon xxxx! I am here to help you, please tell me more about your problem.
Dr.
we can discuss after 1. 30 pm..
I am not able to maintain erection and it gets loose
Dr.
Do you want to discuss on call or chat?
Dr.
I need more information.
Dr.
Please answer few questions so I can guide you in right direction for your sex related problem.
1..Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and which circumstances you do sex?
2..How did problem start? Any specific incidence was there?
3...Do you pay more attention to erection while trying for intercourse/sex?
4..Do you have any physical illness?if yes, Any medication?
5..How is relationship with your partner? Any emotional or social problem is there?
6..Is morning erection present when you wake up from sleep ?
7..Is smoking or alcohol?if yes, duration you are taking, frequency per week or per month and quantity?
8..Is there any difficulty in urinating?
9...When did you do successful intercourse last?
10...Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
11...How many time you do sex and masturbation per week or per month?
12..How much duration do you last before ejaculation?
I am married 8 yrs and I am fit no illness..relationship is good with partner ..morning erection happens some time..bit not always..
I don't drink and smoke..yes I do materbation 2time in week
I do sex 7 to 8 times in month
my ejaculation some time controlled due to climax delay condom
one week before I did intercourse
but it is not getting erected hard..
most of the time semi erect and looses erection in mid of inter course
this problem starts since my marriage
Dr.
Do you consume alcohol?
Dr.
Have you done any physical check up and blood tests recently?
Dr.
Have you tried any solution or treatment?
but I want to know how safe it will be and how much dose I can try
Dr.
Thanks for information.
Dr.
Presence of morning erection and normal masturbation habit suggest that there is no physical problem.
Dr.
it can be performance anxiety
Dr.
Paying attention to erection leads to performance anxiety. Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. After such failure when person actively thinks about erection or success of intercourse/masturbation, his mind is likely diverted to such thoughts. This is called performance anxiety. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection becomes weak or lost. Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy. If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
Dr.
Brain has sex centre which sends signals to penis for erection. This sex center is stimulated by any visual stimuli, fantasies or with partner touch. Erection to be remaining constant sex center should be in stimulated mode. While doing sex if any kind of thoughts like “Will I be able to satisfy my partner today? Will my erection be last proper? Is my erection is there or not? Is it proper erection?” etc as well as more than 30-45 seconds transition time from foreplay to insertion penis is there then sex center loses its stimulation due to lack of arousal. So signals for erection to penis are also lost and penis becomes loose.
Dr.
To overcome this problem you should not remove your underwear during foreplay. When you feel that there is sufficient erection or your partner feels the same just proceed for the insertion without delay after removing underwear. If you are using condom, keep condom in ready to wear position near to bed before starting the sex so no time is wasted in getting condom and opening it. After removing underwear, during wearing condom and till you insert completely and start stroking keep your sex center aroused by touching your partners parts(breast) or whatever the way you comfortable or your partner can do something like kissing you or touching your some body part by which you feel aroused. During this process try to enjoy and avoid thinking about erection or success of sex or watching erection consciously or feeling erection consciously with attention. Even after insertion of penis continue the same feelings and your both hands are free so you can have more chance to arouse yourself by touching your partner the way you like. After few strokes it will be easy to maintain erection. Ultimately try to enjoy without apprehension of erection or success of sex.
Dr.
You can go for serum testosterone level check up once to rule out physical problem.
Dr.
It is a hormone responsible for sex life and erection.
Dr.
I will prescribe two supplements for erection for a while.
I will also prescribe one medicine Etizolam to remove performance anxiety.
Even after above approach of removal of performance anxiety you cannot succeed then you can use tadalafil. Which is newer generation Viagra. As such without side effects. Headache, stuffy nose nausea and gastric discomfort like common side effects but not in all patients.
Dr.
Please read all msgs carefully and ask your queries if any. I will prescribe medicine after your all queries answered.
OK but 3 yes ago I tested and it was fine..
I have been consuming pills for 3 to 4 yrs
will it effect my health if I take for longer duration
Dr.
but it should be restricted 5 times per month
so I do get headache but it disappear after 1 day
is it fine if I continue same..
Dr.
how other medicines work and reports
can you please prescribe required dose so it will be helpful
Dr.
so need to stop regular use
my previous prescription got lost so I don't remember dose and duration
Dr.
Not to worry xxxx, take the medicines that I have prescribed. You will feel better. If you need any help, I am right here.
Dr.
Please do not hesitate to ask your doubt or query.
Dr.
After one month we can evaluate situation and decide further course of medicines.
Dr.
Thank you for consulting me through docsapp
do I need to take 5 mg or 10 mg
I am having 5 mg from last two years
Dr.
only 1 hour before sex
Dr.
and after 10 days try without it
Dr.
Welcome. Wish you good health.
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