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Suggest Treatment For Erectile Dysfunction
Question: Hi Doctor
Just started seeing an escort been with her about 8 times and when we get naked i don't get any response from the penis she has to give me oral to get me going even than it only goes about 70%80%hard it's a bit frustrating and it's worrying.
Also I have morning erection but do have some night time erection every now and then.
When I masturbate to porn I have to stimulate my self with hand to get going and some times have to stop because it feels like I can come while soft but by stopping and starting I can get pretty good hardness while with porn but sometimes it's a bit of work to get there but can get it to almost 100% with some effort,sometimes it feels as if there is reduce feeling in the skin as if I have to be pretty rough with it to get it going.
So not sure if its physical couse or not?
And why does my penis require oral sex to get going when I have this attractive women in front of me?
And the loss of feeling in the penis sometimes?
Sorry for being a bit graphic.
Thank you so much
Just started seeing an escort been with her about 8 times and when we get naked i don't get any response from the penis she has to give me oral to get me going even than it only goes about 70%80%hard it's a bit frustrating and it's worrying.
Also I have morning erection but do have some night time erection every now and then.
When I masturbate to porn I have to stimulate my self with hand to get going and some times have to stop because it feels like I can come while soft but by stopping and starting I can get pretty good hardness while with porn but sometimes it's a bit of work to get there but can get it to almost 100% with some effort,sometimes it feels as if there is reduce feeling in the skin as if I have to be pretty rough with it to get it going.
So not sure if its physical couse or not?
And why does my penis require oral sex to get going when I have this attractive women in front of me?
And the loss of feeling in the penis sometimes?
Sorry for being a bit graphic.
Thank you so much
Brief Answer:
Your problem of Erectile Dysfunction seems to be Psychogenic in origin,
Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you are facing problem of Erectile Dysfunction .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you masturbate very frequently?
2) What is the frequency of intercourse you have when with your partner?
3) Are you diabetic or Hypertensive ?
Erection is very complex process that involves Nervous .Vascular and endocrine system of the body
Based on your statement that you are getting good morning erection and get good erection after oral sex from your female partner and excessive stimulation of penis with hand while watching porn videos suggest that your problem of Erectile Dysfunction is Psychogenic in nature and not due to any organic cause or any major illness though you are not aware of any stress or reason to be accounted for
Following measure will help you to boost up your confidence and getting good erection.
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking.
Taking Sildenafil (Viagra) or Tadalafil (Cialis) as on demand will help to get good hard sustainable erection and to have enjoyable sex.
If problem persists even after few months you need to consult qualified Psychiatrist for counselling
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil
..
Your problem of Erectile Dysfunction seems to be Psychogenic in origin,
Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you are facing problem of Erectile Dysfunction .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you masturbate very frequently?
2) What is the frequency of intercourse you have when with your partner?
3) Are you diabetic or Hypertensive ?
Erection is very complex process that involves Nervous .Vascular and endocrine system of the body
Based on your statement that you are getting good morning erection and get good erection after oral sex from your female partner and excessive stimulation of penis with hand while watching porn videos suggest that your problem of Erectile Dysfunction is Psychogenic in nature and not due to any organic cause or any major illness though you are not aware of any stress or reason to be accounted for
Following measure will help you to boost up your confidence and getting good erection.
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking.
Taking Sildenafil (Viagra) or Tadalafil (Cialis) as on demand will help to get good hard sustainable erection and to have enjoyable sex.
If problem persists even after few months you need to consult qualified Psychiatrist for counselling
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil
..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No you miss understood me I never get morning erection but do get nighttime erection sometimes and don't get erection just being with a naked girl I need oral sex to get me to 70% erection but can't get any erection from sight alone.
The best erection I can get is when masturbating to porn even than I need a lot of manual sometimes rough stimulition to get 100% hard but as soon as i stop manual stimulation the erection is gone
So o can get hard erection thru porn but it takes a lot of effort to get my penis going it feels almost numb at the beginning.
Also some times when masurbating on porn I feel I can come while soft so have to stop.
And once hard have to stop and start as not to come and as soon as I let go the erection goes down
I don't have a partner but have seen same escort 10 times now and never got erection from sight alone need a lot of manual stimulation and XXXXXXX when going to get Condom the erection goes down.
I don't masturbate often especially in the last year maybe before that I did every second day but not in the last year.
Please help
The best erection I can get is when masturbating to porn even than I need a lot of manual sometimes rough stimulition to get 100% hard but as soon as i stop manual stimulation the erection is gone
So o can get hard erection thru porn but it takes a lot of effort to get my penis going it feels almost numb at the beginning.
Also some times when masurbating on porn I feel I can come while soft so have to stop.
And once hard have to stop and start as not to come and as soon as I let go the erection goes down
I don't have a partner but have seen same escort 10 times now and never got erection from sight alone need a lot of manual stimulation and XXXXXXX when going to get Condom the erection goes down.
I don't masturbate often especially in the last year maybe before that I did every second day but not in the last year.
Please help
Brief Answer:
You need excessive stimulation to get hard erection .
Detailed Answer:
Hello
Thanks for feedback and follow up.
Your basic problem is not Erectile Dysfunction but need excessive sexual stimulation to achieve hard erection .
This is not due to any organic cause but is due to performance anxiety .
You need to consult qualified Psychiatrist for counselling and refrain from watching porn films .This may help you do get good hard erection without need for excessive stimulation either by hand or oral sex .
Spend more time in foreplay when planning to have sexual activity with female partner .
Please note that erection and ejaculation are two different processes .One can ejaculate even without getting erection .
Taking Sildenafil as on demand will help to get hard erection .
Thanks and Regards.
Dr.Patil.
You need excessive stimulation to get hard erection .
Detailed Answer:
Hello
Thanks for feedback and follow up.
Your basic problem is not Erectile Dysfunction but need excessive sexual stimulation to achieve hard erection .
This is not due to any organic cause but is due to performance anxiety .
You need to consult qualified Psychiatrist for counselling and refrain from watching porn films .This may help you do get good hard erection without need for excessive stimulation either by hand or oral sex .
Spend more time in foreplay when planning to have sexual activity with female partner .
Please note that erection and ejaculation are two different processes .One can ejaculate even without getting erection .
Taking Sildenafil as on demand will help to get hard erection .
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
So I was thinking of going no porn no masturbatiin no orgasm for a couple of months to see what happens what's your opinion.
Also while at home on Australia I have no morning erection and nighttime erection is not there or 70 % hard.
Came back from European holiday two months ago and one thing I did notice is my nighttime erections were much harder whole over in Europe.
Also have a bit of depression on and off not sure if it effected my erection but in while in Europe my libido and nighttime erection was better.
Sorry also if I can get good hardness no matter how or how hard I try does that mean that blood flow is not problem?
Also while at home on Australia I have no morning erection and nighttime erection is not there or 70 % hard.
Came back from European holiday two months ago and one thing I did notice is my nighttime erections were much harder whole over in Europe.
Also have a bit of depression on and off not sure if it effected my erection but in while in Europe my libido and nighttime erection was better.
Sorry also if I can get good hardness no matter how or how hard I try does that mean that blood flow is not problem?
Brief Answer:
To refrain from all sexual activities for few months will help you .
Detailed Answer:
Hello
Thanks for follow up
To refrain from all sorts of sexual activities will be a good approach to resolve the issue .
I have made clear to you that you do not have any organic cause like blood flow for your problem You definitely need to consult Psychiatrist to resolve the problem.
Thanks and Regards.
Dr.Patil.
To refrain from all sexual activities for few months will help you .
Detailed Answer:
Hello
Thanks for follow up
To refrain from all sorts of sexual activities will be a good approach to resolve the issue .
I have made clear to you that you do not have any organic cause like blood flow for your problem You definitely need to consult Psychiatrist to resolve the problem.
Thanks and Regards.
Dr.Patil.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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