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I Have Problems With Maintaining My Erection. Even If I

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Posted on Sun, 11 Aug 2019
Question: I have problems with maintaining my erection. Even if I get an erection when we start foreplay, by the time I remove my pants, i lose it and it is difficult to get erect again. Even if i get an erection and start intercourse, I can maintain it only as long as my partner's vagina is not very wet and is exerting pressure on my penis. When it becomes wet, i feel it is over-lubricated and I can't feel pressure on my penis, which keeps it erect. I feel i have lost erection although i may not have. And eventually I do lose erection. What can I do to maintain erection when there is so much of lubrication in my partner's vagina that I feel my penis is too small within it and I can't feel the pressure?
doctor
Answered by Dr. Dr. Parth Goswami (3 hours later)
Brief Answer:
Need below details for further discussion.

Detailed Answer:
Hello,
Welcome to the 'Ask A Doctor service'.
I have read your concern.

Kindly provide answer of following questions to guide you further.

1.Do you have hypertension or any cardiac problem?

2.Since how long you are feeling such problem?

3.Are you going through any stressful events in recent days?

4.Do you have anxiety or depression problem in past?

5.Do you have habit of smoking?

6.Are you having any prostatic problem, cardiac problem, high cholesterol or spinal problem??

Kindly revert back as soon as possible to guide you further

Take care
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Parth Goswami (35 minutes later)
Please see my answers below

1.Do you have hypertension or any cardiac problem? No

2.Since how long you are feeling such problem? I have felt this from a young. Everything was fine and i used to get good erections on viewing porn until I was about 20. After this time I think I started becoming more concious about when the ereciton happens, etc. because the more I watched porn, it used to take me more time to get erection (As opposed to the first few times when I got an erection even before the "action" in the movie started. I got married when I was 32 and I did have good eerction the first few times, but when my wife turned down because I didn't have a condom, I started being more conscious. Even whe I bought the condom I wold lose the erection before I put it on. The marriage was not happy and was stressful, which ended in divorce. I again go married last year - it has been a year. some times I am three-four times after taking taldafil and then a few times even after I stopped. But I am always conscious about the erection. My wife keeps saynig don't worry about it, let it happen when it does etc But I have the worry of not being able to satisfy her or not gettin a proper erciton, etc. She has never complained and always said she is happy.

3.Are you going through any stressful events in recent days? No.

4.Do you have anxiety or depression problem in past? Yes, in teh past I have had anxiety about this and i think i still have. Depression was unrelated to this but there was a brief period.

5.Do you have habit of smoking? I used to but I quit 4 years ago.

6.Are you having any prostatic problem, cardiac problem, high cholesterol or spinal . Only high cholesterol. I am also taking anticoagulants because I have had DVT three times in my leg. The doctors said my blood has a tendency to clot so I should continue taking it . I have Acitrom 4 mg and 5 g on alternate days. Sorry i forgot to mention this. i also have varicose veins (in on leg now, and the other leg was treated with radio frequency in 2012)
doctor
Answered by Dr. Dr. Parth Goswami (9 minutes later)
Brief Answer:
Psychogenic erectile dysfunction is my diagnosis for your case.

Detailed Answer:
Hello,
Welcome back to the 'Ask A Doctor'.
Thanks for follow up with answers.

I have read your concern and you are having psychogenic erectile dysfunction according to my opinion.

The erection and maintainance of erection is purely related to brain. You are having anxiety about maintaining erection and you have lost confidence for maintainance of it.

For your problem you need to take sex therapy session and counselling by sexologist or nearby psychiatrist who is trained in it.

I can give you following advise for your erectile dysfunction....
_practice yoga and meditation
_Make habit to take fruits and green leafy vegetables more
_Try more foreplay
_It's advisable to loose weight if your BMI is above 25
_Regularly do 30 minute active exercise like brisk walking, swimming etc.
_stop smoking strictly if having habit of it
_You should take one glass of pomegranate juice daily
_After achieving erection don't think about loosing erection and just focus in completion of intercourse with semen discharge

Hope I have answered your question.

You can discuss my answer with sexologist you consult.

I will be happy to help you further if needed.

Best regards.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Parth Goswami (22 hours later)
Thank you, doctor.

Even when have erection, I feel it is not as strong and hard as it used to be earlier. Is there a way to improve this?

Also, is using numbing spray good to retain erection?
doctor
Answered by Dr. Dr. Parth Goswami (36 minutes later)
Brief Answer:
Follow up question.

Detailed Answer:
Hello,
Welcome back to the 'Ask A Doctor service'.
I have read your questions and below is my answer.

1. You are having psychological erectile dysfunction as per my opinion. Tadalafil can help in such condition and can be used temporary.

2. Topical Lignocaine jelly or spray help in prolongation of sexual intercourse time. It is used in premature ejaculation problem. It is not advisable in your case where erectile dysfunction seems to be psychological.

I suggest you follow my provided instructions in answer and consult sexologist for detailed discussion & counselling.
You can discuss all these points to him also.

Hope I have answered your question.

Let me know if I can assist you further.

Take care.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. Parth Goswami

General & Family Physician

Practicing since :2012

Answered : 9716 Questions

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I Have Problems With Maintaining My Erection. Even If I

Brief Answer: Need below details for further discussion. Detailed Answer: Hello, Welcome to the 'Ask A Doctor service'. I have read your concern. Kindly provide answer of following questions to guide you further. 1.Do you have hypertension or any cardiac problem? 2.Since how long you are feeling such problem? 3.Are you going through any stressful events in recent days? 4.Do you have anxiety or depression problem in past? 5.Do you have habit of smoking? 6.Are you having any prostatic problem, cardiac problem, high cholesterol or spinal problem?? Kindly revert back as soon as possible to guide you further Take care