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Suggest Treatment For Erectile Dysfunction Due To Anxiety

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Posted on Mon, 12 Oct 2015
Question: In the last year, I started working out about 3 times/week 30-45 minutes a day and eating better and basically wanting to be healthier. I would work out about 1-1.5 hours before bedtime. Some of those times after a work-out I would have sex with my wife. A couple times I would not get an erection and my wife would get disappointed but I would make it up the next evening. About two weeks ago, it happened again and the plan was to make it up the next day. Well the next day came but we didn't get the opportunity to have sex. Well, the next three days we didn't get the opportunity to have sex either (family camping trip). On the fifth night we tried and no erection. My wife got upset again. Anyway to make a long story a little shorter, it's been a little more than two weeks since we've have sex. Every time we try I get an anxiety attack in my stomach. I have masterbated a couple times in this two week period and she even gave me oral to completion a week ago. I'll get hard for a moment just before penetration and then I loose it. When we are together outside the bedroom I get erections but once we get on that bed I loose it. I must also add that about 3 months ago I started taking testosterone booster pills to give me extra power but I've stopped for a week now.

What's wrong with me? Is it performance anxiety? Where do I start to get it back to normal? Before we were having sex 2-3 times per week. I'm 39 yrs old 5'8" 175 lbs and I physically feel great.
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Answered by Dr. Alexander H. Sheppe (3 hours later)
Brief Answer:
Consultation

Detailed Answer:
Thanks for your question.

Several things here point to this being a psychological issue. First, you are able to obtain and maintain an erection outside the bedroom, which means all the parts are in working order, so to speak. However, because of a few initial times where you had trouble obtaining an erection during sex, you have grown increasingly anxious about it, to the point where you now are having essentially an anxiety attack whenever trying to have sex because you are worried about your performance. I would agree that you should stop taking testosterone pills as these products often have other unregulated substances in them that might be interfering with your sex drive, but the larger problem is very likely psychological.

The cure to this problem is to sit down and have a talk with your wife about. In your mind, you're obsessing that she's judging you and is very disappointed with your performance. If you talk to her, I'd guess she is actually sympathetic and just wants you to be happy, rather than judging you. Have a conversation with her about your anxiety and think of ways to have sex again without this problem looking over both your heads and not talking about it. If this doesn't work, I recommend seeing a therapist who can talk with you both about it. There is the possibility of medication being helpful, Viagra and Cialis come to mind, but these will not really fix the problem, which is your anxiety about this situation and the unspoken tension between you and your wife.

For a more comprehensive evaluation and answer, ask me on HealthCareMagic at the private link below: tinyurl.com/DrSheppeAnswers

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

Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Answered by
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2236 Questions

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Suggest Treatment For Erectile Dysfunction Due To Anxiety

Brief Answer: Consultation Detailed Answer: Thanks for your question. Several things here point to this being a psychological issue. First, you are able to obtain and maintain an erection outside the bedroom, which means all the parts are in working order, so to speak. However, because of a few initial times where you had trouble obtaining an erection during sex, you have grown increasingly anxious about it, to the point where you now are having essentially an anxiety attack whenever trying to have sex because you are worried about your performance. I would agree that you should stop taking testosterone pills as these products often have other unregulated substances in them that might be interfering with your sex drive, but the larger problem is very likely psychological. The cure to this problem is to sit down and have a talk with your wife about. In your mind, you're obsessing that she's judging you and is very disappointed with your performance. If you talk to her, I'd guess she is actually sympathetic and just wants you to be happy, rather than judging you. Have a conversation with her about your anxiety and think of ways to have sex again without this problem looking over both your heads and not talking about it. If this doesn't work, I recommend seeing a therapist who can talk with you both about it. There is the possibility of medication being helpful, Viagra and Cialis come to mind, but these will not really fix the problem, which is your anxiety about this situation and the unspoken tension between you and your wife. For a more comprehensive evaluation and answer, ask me on HealthCareMagic at the private link below: tinyurl.com/DrSheppeAnswers