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Suggest Treatment For Abdominal Bloating And Erectile Dysfunction
Question: Till my age of 30 I didn't have any erectile problems, however, lately I lose erection prematurely while wearing the condom itself. I currently weigh 95KG with a height of 6.1 ft. Due to my nature of work, I have got a slight bloated tummy. Kindly advise on medication to retain erection.
Brief Answer:
It can be performance anxiety, provide more details
Detailed Answer:
Hello Mr. XXXXXXX
Thanks for writing to us. I can understand your concern.
Your problem started after incident of losing erection while wearing condom. This can lead to performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
To help you further I need more details.
- Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
- How did problem start? Any specific incidence was there?
- Do you pay more attention to erection while trying for intercourse?
- Do you have any physical illness?
- How is relationship with your partner? Any emotional or social problem is there?
- Is morning erection present?
- Is there any history of smoking or alcohol?
- Is there any difficulty in urinating?
- When did you do successful intercourse last?
- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
It can be performance anxiety, provide more details
Detailed Answer:
Hello Mr. XXXXXXX
Thanks for writing to us. I can understand your concern.
Your problem started after incident of losing erection while wearing condom. This can lead to performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
To help you further I need more details.
- Are you married?
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
- How did problem start? Any specific incidence was there?
- Do you pay more attention to erection while trying for intercourse?
- Do you have any physical illness?
- How is relationship with your partner? Any emotional or social problem is there?
- Is morning erection present?
- Is there any history of smoking or alcohol?
- Is there any difficulty in urinating?
- When did you do successful intercourse last?
- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
- Are you married?
-- Not yet, but would be marrying my girlfriend in 2 months.
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
-- Had sex 5-6 times with girlfriend in a flat where neighbors knew her and me as her fiancé.
- How did problem start? Any specific incidence was there?
-- The problem has started since the first intercourse and happens every time we have an intercourse.
- Do you pay more attention to erection while trying for intercourse?
-- May be yes as I was nervous initially. It may be happening unintentionally.
- Do you have any physical illness?
-- I don't have any physical illness, just that I am a bit overweight with some bloated tummy.
- How is relationship with your partner? Any emotional or social problem is there?
-- More inclined towards emotional
- Is morning erection present?
--Yes
- Is there any history of smoking or alcohol?
--Occasional consumption of alcohol (once in 2-3 months)
- Is there any difficulty in urinating?
-- No
- When did you do successful intercourse last?
--Never
- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
-- Yes, I have a history of masturbation which I do 2-3 times a week.
-- Not yet, but would be marrying my girlfriend in 2 months.
If yes duration of marriage?
If not married, provide details about sex life with girlfriend. Where and in which circumstances you do sex?
-- Had sex 5-6 times with girlfriend in a flat where neighbors knew her and me as her fiancé.
- How did problem start? Any specific incidence was there?
-- The problem has started since the first intercourse and happens every time we have an intercourse.
- Do you pay more attention to erection while trying for intercourse?
-- May be yes as I was nervous initially. It may be happening unintentionally.
- Do you have any physical illness?
-- I don't have any physical illness, just that I am a bit overweight with some bloated tummy.
- How is relationship with your partner? Any emotional or social problem is there?
-- More inclined towards emotional
- Is morning erection present?
--Yes
- Is there any history of smoking or alcohol?
--Occasional consumption of alcohol (once in 2-3 months)
- Is there any difficulty in urinating?
-- No
- When did you do successful intercourse last?
--Never
- Is there any history of masturbation? If yes, how was pleasure/orgasm during masturbation?
-- Yes, I have a history of masturbation which I do 2-3 times a week.
Brief Answer:
problem is likely psychological
Detailed Answer:
Hi,
Thanks for information and sorry for delayed response.
You are able to masturbate means there is no physical cause of your problem. Presence of morning erection and absence of major physical problem also suggest there is no major issue. It is likely psychological problem.
Performance anxiety is likely playing a role in your problem as I described.
To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.
For a while I recommend one supplement called tetrafol plus containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus) is very helpful in my patients. It has shown improvement in 50-60 patients of mine with ED as well as patients with low or absent libido. You should take it after meal twice a day. If you feel some improvement in 15 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.
Hope this will help. Feel free to discuss further.
problem is likely psychological
Detailed Answer:
Hi,
Thanks for information and sorry for delayed response.
You are able to masturbate means there is no physical cause of your problem. Presence of morning erection and absence of major physical problem also suggest there is no major issue. It is likely psychological problem.
Performance anxiety is likely playing a role in your problem as I described.
To get rid of performance anxiety help of partner is also an important aspect.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about erection. You must try to enjoy and only enjoy. Once penis is able to enter in vagina and strokes starts it is easy to complete successful sex.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.
For a while I recommend one supplement called tetrafol plus containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus) is very helpful in my patients. It has shown improvement in 50-60 patients of mine with ED as well as patients with low or absent libido. You should take it after meal twice a day. If you feel some improvement in 15 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.
Hope this will help. Feel free to discuss further.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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