Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Sexual dysfunctions can be a result of a psychological or physical problem.

Psychological causes: Most common cause in young patients. These include performance anxiety, emotional weakness, inferiority complex, stress, marital or relationship problems, low mood, feelings of guilt, and the effects of a past sexual and emotional trauma. Men with psychological problem usually have normal nocturnal erections and erections upon awakening, whereas men with physical problem often do not.

Physical causes: Include neurological disorders, alcoholism, drug abuse, hormonal imbalances, diabetes, hypertension, blood vessel disease and chronic diseases.

Excessive HP frequently frequently lead to decrease desire for sex. It also lead body conditioning for HP only sexual gratification. Inability to intercourse can occur because of following reasons in your case:
-Premature ejaculation
-Erectile dysfunction
-Pain during attempted intercourse

I need following information to help you better:
-Do you have anxiety attack during sex only or some other time also.
-How is your sleep and appetite
-What is your primary sexual problem: Erectile dysfunction or premature ejaculation
-Do you have problem alcohol abuse, hormonal imbalances, diabetes, hypertension, blood vessel disease or other chronic diseases?
-If yes then, are you on any treatment for that
-How much is your blood pressure currently
-Current frequency of HP by you.
-Do you have pain during attempted intercourse?


For treatment It is better to stop HP and provide me above information to help you better.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,

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Hello again,
Thanks for follow up.

From your follow up query it is clear that you are having problem of erection while doing sex with your wife but same time you do not have erectile dysfunction during HP. Presence of erection during HP mostly rule out presence of any medical or serious problem.

Your problem is psychological and occurring due to performance anxiety, lack of experience of sex and mental block for it. For treatment follow below steps:
-Stop HP so that your craving and excitement for sex will build up and then there is high chances of successful intercourse.
-If by chance you HP then visualize your wife during the act.
-Fantasize about having intercourse with your wife 2-3 times per day. It will decrease your performance anxiety.
-Take healthy diet.
-Do jogging daily to increase blood circulation in body.

If you do not get benefit then you can take help of medicine for 1-2 weeks which will open your mental block. The commonly prescribed drug by the doctors for erection is sildenafil (Viagra) or Tadalafil (Megalis), which causes erections to be stronger and long lasting. It is important to rule out medical conditions specially related to cardiovascular system before starting such treatment.

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.

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