
Difficulty In Sustaining Erection. Is It Age Related?

Use lubricants during intercourse. Your wife can use vaginal estrogen gel.
Detailed Answer:
Hello,
Thank you for trusting HCM
The issue you are facing seems to be difficult penetration leading to prolongation and inability to achieve orgasm. I believe that you are able to have an erection. So, if penetration becomes easier, you will likely achieve orgasm.
You can use lubricants like k-y gel for easier penetration. Also, vaginal dryness in postmenopausal women is the reason for sensitivity during penetration which can be effectively treated by vaginal estrogen gels. She can follow up with her obgyn to get a prescription for estrogen gel.
Hope this answers your question
Please let me know if you need further clarification
Regards
Dr.Lekshmi


Yes we always use lubricants but even with the lubricants and foreplay it still takes her considerable time to get me inserted. During that time she is kind of manhandling me because it seems as if the orifice does not want to open and must be painful for her. She will not use any estrogen medication because she is a breast cancer survivor and wants nothing to do with using estrogen on the vaginal epithelium. I just find that I have difficulty achieving orgasm during intercourse I begin to sweat while trying. As far as I know my prostate is normal as of 2 months ago and PSA is acceptable. When she manipulates me manually I don't seem to have a problem. Maybe at my age that is all I can hope for. I also find my libido I very low. I am sure that free testosterone is marginally low and at one time I took clomed (LH) to subtly raise the levels and it worked. I was seeing a prominent Urologist to the Peyronie's and he suggested it rather than Androgen gel.
You can try Clomid or testosterone
Detailed Answer:
Hi again,
Since you are complaining of decreased libido and recurrent episodes of inability to orgasm, it is best to get your testosterone levels checked. If low, Clomid (clomiphene) taken once daily can help boost testosterone levels.
Another option would be testosterone replacement therapy.
Please discuss with your urologist regarding this.
If you are noticing excessive sweating during intercourse, it is also important to get an EKG done to rule out cardiovascular disease.
Bests
Dr.Lekshmi

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