PATIENT PROFILE
Age: 32
Gender: Male
Topic: Sexology
Chat Rating: star star star star star_border
Location: Mumbai

erection problem

Dr.
Hello xxxxxxx, 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:
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?
How frequently does this happen, when you engage in Sexual activity? Everytime
Dr.
Do you have any of the following (Stress, Anxiety, Depression etc.)?
Do you have any of the following (Stress, Anxiety, Depression etc.)? Stress
Dr.
Do you have any of the conidtions (Hypertension, Diabetes, Thyroid, Cardiac problems)?
Do you have any of the conidtions (Hypertension, Diabetes, Thyroid, Cardiac problems)? Diabetes
Dr.
Do you take any allergy medication for cold and cough?
Do you take any allergy medication for cold and cough? No
Dr.
Hi xxxxxxx , Dr.xxxxxxxxx will take up your case.
Dr.
Dr.
Good Afternoon xxxxxxx! I am here to help you, please tell me more about your problem.
Dr.
Can we discuss on call?
sir i m with someone.. u can chat with me
Dr.
after 20 to 25 minutes
Dr.
ok
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? Do you ejaculate before your partner reaches orgasm?
yes I m married... from last year's ... detected diabetes in 2016 ... problem start from 2017 .. stress level is high becoz erection issue... relation is good with my partner... I m smoker.... I have enjoyed sex after taking suhagra 100mg in month of June..... after that after taking vigra also... not getting fully erect
Dr.
Thanks for information.
Dr.
revert you in 10 to 15 minutes
Dr.
thanks for waiting
Dr.
smoking can affect overall health and erection in long run
Dr.
smoking
Dr.
You must reduce and stop smoking.
Dr.
and
Dr.
diabetes is also one big factor
Dr.
most of the males with diabetes suffer from erection problem sometime in life
Dr.
Treatment of Erectile dysfunction: Medical treatment for ED: 5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. In your case tadalafil can be used as it has the least side effects. Still its use should be restricted. Another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients who had diabetes and hypertension. You will feel response in 20 days and then you can continue for 2 months. Ayurvedic supplement is also there. I recommend Tentex forte in my patients. There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance. - The most important factor is healthy heart. Regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh. - Good healthy food is also an important aspect. Bananas, Garlic, dry fruits (they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction. - Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same. I recomemnd going for report of Hb1ac if not done recently to check control of your diabetes.
Dr.
I will prescribe two supplements for erection for a while. They are without side effects. They will show effect after 15 days. For early success 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.
for assurance
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.
and Hb1ac
Dr.
avoid performance anxiety
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.
Please read all msgs carefully and ask your queries if any. I will prescribe medicine after your all queries answered.
Dr.
You can ask if any doubt or confusion and we can discuss on call also if you are comfortable
Dr.
I will call after 5 and prescribe
Dr.
xxxxxxx, I am calling you now. Please pickup.
Call Ended. Status : no-answer
Call Ended. Status : no-answer
Dr.
Please receive call
Dr.
xxxxxxx, I am calling you now. Please pickup.
Call Ended. Status : no-answer
Call Ended. Status : no-answer
Dr.
I will prescribe after answering your queries.
Dr.
Any other question?
Dr.
should I prescribe?
Dr.
xxxxxxx, I am calling you now. Please pickup.
Call Ended. Status : completed Duration : 3 min 6 sec
Call Ended. Status : completed Duration : 3 min 6 sec
Dr.
DocsApp prescription
Dr.
Not to worry xxxxxxx, take the medicines that I have prescribed. You will feel better. If you need any help, I am right here.
Dr.
Thank you for consulting me through docsapp
Dr.
please
Dr.
You must reduce and stop smoking.
Dr.
You must reduce and stop smoking.
Dr.
Take care.. Wish you good health
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.
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