Brief Answer:
it is likely due to refractory period

Detailed Answer:
Hello,

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

You told that, "last time we did it 2 times but on 3rd time erection is zero .. "
This is likely due to refractory period.

In males there is called refractory period after ejaculation and orgasm. This is the period during which it is physiologically impossible for a man to have additional orgasms. The penis may be hypersensitive and further sexual stimulation may feel painful during this time frame. While the refractory period varies widely among individuals, ranging from minutes to days, most men cannot achieve or maintain an erection during this time. Many perceive a psychological feeling of satisfaction and are temporarily uninterested in further sexual activity.

There are suggested hormonal,neurotransmitter and muscle fatigue theories to specify refractory period. Average period duration varies from 15 to 45 minutes. But it can be less like 1 minute and more like 1 day also.

This is natural phenomenon, not dysfunction we can say(though it is affecting your sexual activity more than once in a day) and no specific treatment for the same.
As age increases refractory period increases gradually.

You are able to enjoy the sex it means your erection is proper and no physical problem is there. No need to worry.

During masturbation mind aroused faster in comparison to erection, So person reaches to orgasm before complete erection and ejaculation happens. It is also normal. During sex penis gets sufficient time for erection during foreplay so ejaculation happens after erection.

In conclusion you do not have any physical problem. Your concern is genuine on your side but I think you are now clear about doubts.

Feel free to discuss further.

Regards,

Dr.Chintan Solanki.

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Brief Answer:
provide more details

Detailed Answer:
Hi,

Thanks for follow up.

No erection at all since 6 days is not serious problem but still we need to evaluate.

- How did the problem started? Any specific incidence?

- What is frequency of sex/masturbation?

- When did you do your last successful intercourse/masturbation?

- What actually happens when you attempt sex or masturbation in last 6 days?

- Do you have any physical illness?

- Is there any disturbance in your relationship?

- Do you have any stress or psychological problem?

- Is morning erection present?

- Do you have nay habit of alcohol or smoking? If yes provide more details.

I will be happy to help further after your response.

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Brief Answer:
mostly it is due to performance anxiety, wait for 10 days

Detailed Answer:
Hi,

Thanks for information and sorry for delayed response.

Your history suggests that your current problem of erection is likely due to anxiety. It started when there is call of your girlfriend's mom and you became afraid.

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 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.

In this situation I suggest refraining from sexual activity(sex/masturbation) for 10 days.After that start masturbation without any thought of failure of erection.

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.

With this approach I think you will be normal soon. If by chance you would not succeed(rare chance), no need to worry. Then go for serum testosterone level and revert back to me with report.


Take care.

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Brief Answer:
you are welcome

Detailed Answer:
Yes we hope that you will be fine soon without any medical intervention.

All the best and take care.

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