Brief Answer:
It can be performance anxiety

Detailed Answer:
Hello,


Thanks for writing to us. I can understand your concern.

Many couples face problem initially in sex life. I need more details from your side to help you better.

- Do you pay more attention to erection while doing sex?

- Do you have any habit of alcohol, smoking or tobacco?

- Is your wife comfortable in enjoying sex?

- What does exactly happen when you go for sex?

- When did you do last successful intercourse?

- Is there any history of masturbation? If yes are you able to enjoy the same also presently?

- Is morning erection pesent?

I want to brief you about treatment.

Treatment of ED:
Medical treatment for ED:

5- PDE inhibitor group of medicines are used for this purpose which includes sildenafil or tadalafil. It is proven drug for male erectile dysfunction. One of them should be used 2 hours prior to sex. They cause headache, stuffy nose nausea and gastric discomfort like common side effects. Proper physical check-up of cardiac system should be done by a doctor before starting the same. These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

Another medicine cum vitamin supplement 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. You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

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.

As you are likely form XXXXXXX I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for ED. No side effects have been reported.

At present I would recommend Tetrafol plus and tentex forte at present.

I will be happy to help further after your response.

Regards,
Dr Chintan Solanki.

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