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Suggest Treatment For Erectile Dysfunction
Question: HI
I got married a few days back at a late age of 45. The problem is I'm not getting full erection and also unable to sustain this for very long. Both me and my wife are doing this for the first time.
I do not have a condition of diabetics or any history of alcohol or smoking which I believe affect performance.
And also I have been following a regular running routine for the last 5 years
Please advice.
I got married a few days back at a late age of 45. The problem is I'm not getting full erection and also unable to sustain this for very long. Both me and my wife are doing this for the first time.
I do not have a condition of diabetics or any history of alcohol or smoking which I believe affect performance.
And also I have been following a regular running routine for the last 5 years
Please advice.
Brief Answer:
provide more details
Detailed Answer:
Hello Mr. XXXXX,
Thanks for writing to us I can understand your concern.
It is common to have some problem in sex life initially after marriage. Most of the time problem is not physical. to guide you further I need more information.
- Is this your first marriage? If answer is No, please provide details about past marital sex life.
If not married before, provide details about sex life with girlfriend if applicable.
- Do you pay more attention to erection while trying for intercourse?
- Do you have any physical illness? Are you taking any medicines?
- Is morning erection present?
- Is there any difficulty in urinating?
- How many days of married life is there? What is age of your wife? How many times have you tried sex until now? When did you do successful intercourse last?
- Does your erection lose before or after ejaculation?
I will be happy to help further after your response.
Regards,
Dr. Chintan Solanki.
provide more details
Detailed Answer:
Hello Mr. XXXXX,
Thanks for writing to us I can understand your concern.
It is common to have some problem in sex life initially after marriage. Most of the time problem is not physical. to guide you further I need more information.
- Is this your first marriage? If answer is No, please provide details about past marital sex life.
If not married before, provide details about sex life with girlfriend if applicable.
- Do you pay more attention to erection while trying for intercourse?
- Do you have any physical illness? Are you taking any medicines?
- Is morning erection present?
- Is there any difficulty in urinating?
- How many days of married life is there? What is age of your wife? How many times have you tried sex until now? When did you do successful intercourse last?
- Does your erection lose before or after ejaculation?
I will be happy to help further after your response.
Regards,
Dr. Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your quick response Dr. Solanki
Here are my answers to your questions
1) Yes this is my first marriage
2) Also this is the first time I'm having sex. A bit too late but can't help
3) Yes I think a large part of the focus is on erection during intercourse
4) No physical illness or medicines
5) Morning erection is fairly frequent
6) No difficulty in urinating
7) My wife is around 40 and we've been married for about 4 days. I have tried all these 4 nights so far we haven't had a successful intercourse
8) Yes I tend to loose erection before ejaculation ( as I said erection is not full)
Hope I have been able to answer your queries. Look forward to your response
Here are my answers to your questions
1) Yes this is my first marriage
2) Also this is the first time I'm having sex. A bit too late but can't help
3) Yes I think a large part of the focus is on erection during intercourse
4) No physical illness or medicines
5) Morning erection is fairly frequent
6) No difficulty in urinating
7) My wife is around 40 and we've been married for about 4 days. I have tried all these 4 nights so far we haven't had a successful intercourse
8) Yes I tend to loose erection before ejaculation ( as I said erection is not full)
Hope I have been able to answer your queries. Look forward to your response
Brief Answer:
give yourself sometime
Detailed Answer:
Hello,
Thanks for information.
I get this type of question frequently from newly married couple. After marriage many couples like you suffer from difficulty in sex life. Sometime it will take -3 months to reach to normal sex life. Most of them do not have any physical problem. This happens due to fear or anxiety of either of the partner.
From history it seems that there is no physical problem. It is just situational and psychological issue. Give your self sometime.
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.
While doing sex keep yourself relax.
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.
I recommend following supplements for a while.
You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus) is very helpful in my patients. It has shown improvement in 50-60 patients of mine with ED. You may get this medicine over the counter as it is vitamin product.
I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for sex related problem. No side effects have been reported.
If I were your treating doctor I suggest one tablet of tetrafol plus after meal twice daily for two months and one tablet tentex forte daily at night with a cup of milk for 4 weeks.
Feel free to discuss further.
give yourself sometime
Detailed Answer:
Hello,
Thanks for information.
I get this type of question frequently from newly married couple. After marriage many couples like you suffer from difficulty in sex life. Sometime it will take -3 months to reach to normal sex life. Most of them do not have any physical problem. This happens due to fear or anxiety of either of the partner.
From history it seems that there is no physical problem. It is just situational and psychological issue. Give your self sometime.
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.
While doing sex keep yourself relax.
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.
I recommend following supplements for a while.
You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus) is very helpful in my patients. It has shown improvement in 50-60 patients of mine with ED. You may get this medicine over the counter as it is vitamin product.
I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for sex related problem. No side effects have been reported.
If I were your treating doctor I suggest one tablet of tetrafol plus after meal twice daily for two months and one tablet tentex forte daily at night with a cup of milk for 4 weeks.
Feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor.
I'll follow your suggestions and revert on the progress.
Many Thanks once again
I'll follow your suggestions and revert on the progress.
Many Thanks once again
Brief Answer:
welcome and all the best
Detailed Answer:
Hello,
You are welcome and wish you all the best for fast result.
You can close the discussion and give your feedback and rating so I can improve my service.
In future if you wish you can contact me directly with following link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page with three follow up questions.
welcome and all the best
Detailed Answer:
Hello,
You are welcome and wish you all the best for fast result.
You can close the discussion and give your feedback and rating so I can improve my service.
In future if you wish you can contact me directly with following link:
http://bit.ly/drchintansolanki
by clicking on 'Ask me a question' on same page with three follow up questions.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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