Brief Answer: Psychogenic erectile dysfunction and PME Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this problem. I think, you have psychogenic erection dysfunction. It happens in number of patients. After premature ejaculation, this is the second most common sexual dysfunction in male. First of all, i want to tell about the basic mechanism that lead good erection. It include sexual thoughts, hormone and good penial circulation. When a person has sexual thoughts in mind, that lead to release of some hormone or chemical in body that increase circulation in penis. This lead to complete erection in penis. In absence of any of one, erection would be incomplete. Size of penis never decreases and it depends upon sexual thoughts. May be due to underline anxiety, you are not getting sufficient erection due to which, you are feeling that penis size has decreased. This is not possible. You have same penis size as before, but thoughts have been decreased. Just maintain the same sexual urge and you would get erection like before. Premature ejaculation may be due to excitement. It happens with number of person after marriage due to decrease in frequency of sex. Remember one thing, sex depends upon sexual thoughts. If you do not maintain sexual thoughts, you would not get desire erection and chances of ejaculation would be high. Just follow few steps.. 1. Increase duration of foreplay. That would increase sexual urge and duration of sex. (Foreplay is also part of sex. Do not under estimate it.) 2. Try to do sex in different position like female on top, lateral position. That would help you to decrease your attention towards erection. In female on top position, your partner would help to seduce you. This variation in position would motivate both of you for sex. 3. Try to do sex in different location at home like while bathing or other location. Sometime people become anxious at particular time. That would help you decrease anxiety. 4. Can also try some drugs like tadalafil for proper erection or paroxetine for delayed ejaculation after consultation of psychiatrist, that would help you to get erection for longer period, but remember sex does not depend upon drugs. It is a pleasure that you can get any time and any where. You just need thoughts rather than drugs. 5. You can also try oral sex. That is also one like of sexual act and give to same pleasure as vaginal sex. It would help to give you mental satisfaction and decrease underline stress related to sex. Try to follow above steps and in case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist

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