Brief Answer:
Avoid performance anxiety

Detailed Answer:
Hello,

Thanks for writing to us. I am sending you some details which will likely be useful.

Avoid Performance anxiety first of all.

Brain has sex center 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.

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.

Most of the males can do successful sex with this approach withing 2-3 attempts. Even if no success after trying it one can use medicine to get confidence.


Tadalafil is recommended medicine for erection if it is not lasting completely. You can ask your doctor for prescription.


One medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients.
You can take one tablet twice a day for one month.

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.



Pregnancy occurs when sperm meets ovum in uterus. Ovulation from ovary occurs roughly around 14th day of menstrual cycle (when menses begins count it 1st day)in 28 days cycle. Pregnancy can occur in +/- 2 days of ovulation.

Sperms can live there in uterus for 4-5 days. In female if ovulation has occurred just before a day or after 3 days of sex possibility is there that ovum and sperm can meet successful and female conceives.

I am not telling 100% as we cannot predict length of cycle and ovulation date with 100% accuracy. One good idea is using ovulation kit. This will help to identify the day of ovulation

Also make attempt of sex after 3 days of abstinence around day of ovulation. This will allow more amount of semen accumulation in seminal vesicles. Garlic and cow milk-ghee are the products which can improve semen volume.

To become pregnant female should remain in supine (lying down/sleeping) position for at least an hour (preferably whole night) after successful intercourse so sperms can reach deep in to cervix or uterus. After successful ejaculation in vagina she should raise her legs with help of support or just bent her legs in the way that her knees touch to her breasts. This position for half an hour will help sperms to reach deep in to cervix and increases chances of pregnancy.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr Chintan Solanki.

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