Brief Answer:
Consider behavioral techniques for ED

Detailed Answer:
Hello and welcome,

I am sorry you are having these problems.

It is hard to know if you will always have problems with headaches from Cialis or other medications of the same class, but it is possible and likely.

I see that you are 28 years old and so the cause of ED in someone your age may be more psychological than physical (as opposed to someone with ED who is in their 60s). If you have no erectile dysfunction when you masturbate and only when attempting intercourse, then you may want to consider some behavioral techniques - which don't have side effects like the medications can. Behavioral techniques focus on decreasing performance anxiety and increasing intimacy. Also it is advisable to decrease masturbation to pornography (which creates unrealistic standards and immediate gratification) and avoid masturbation in general for a day or two prior to attempts at intercourse. For awhile, you may want to limit sexual activity to foreplay and mutual masturbation with your partner, to decrease performance anxiety. For further techniques, you may want to see a behavioral therapist who specializes in sexual dysfunctions.

In your second question, I think you are asking if there is a minimum tightness that is necessary for intercourse to happen? Usually that is not a problem as even women who have given birth to many children are able to engage in intercourse. Sometimes, though, if a man is used to a certain amount of pressure from masturbation, the vagina does not seem to exert as much pressure.

I hope this information helps. Please let me know if I can provide further information or clarification.

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Brief Answer:
I would not advise increasing the dose of Cialis.

Detailed Answer:
If a lower dose of Cialis gave you a headache, do not take a higher dose.

And given that you are recently married and do not have much experience with intercourse, the problem is probably not physical. The Cialis is mostly helpful if the problem getting hard enough for intercourse is physical.

Since you are new to sexual relations with another person, try to take the process slower. Consider doing other forms of sexual activity (without finishing with intercourse) until you and your wife are more used to engaging sexually with each other. It will take away some of the psychological pressure to perform intercourse off of you. Masturbation with each other, or oral sex are possible options.

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