Question: Hi Doc,

I got married around 9 months back. From then onwards, during intercourse, I am facing issue with the erection. Earlier, I used to ejaculate within a minute but now that has been controlled by some exercises like Pelvic Kegel.

But I am still not been able to keep my erection for a long time. Is there any tip or medicine you would like to suggest.

Hi Dr. XXXXXXX

Please see the answers to the Questions below:
1. How long you are facing problem with erections? Whether you noticed it after marriage or it really happened after marriage?

XXXX: I really noticed it after marriage.

2. How the problem started whether it was sudden in onset or build up slowly over the months or years?

XXXX: I would say it has remain constant, erection was not 100% always. I still believe that erection could be more.

3. Frequency of the problem in a week/month ? Are you able to have some successful sexual intercourse?

XXXX: Yes, we were able to have successful intercourse, but what I feel was erection was not 100%. So sometime we have to struggle as well during intercourse because of erection.

4. In a typical month out of what number of sexual interactions/masturbation do not achieve success?

XXXX: I would say out of 10 interactions around 3-4 times.
5. What are the factors that increase the problem ?

6. Factors that relieve the problem- thoughts, situations, partner, place etc.

XXXX: I feel that during intercourse, now I always have this thought that erection would not happen or ejaculation would happen. I don't think other problems are there.

7. Do you get early morning erection?

XXXX: No, we don't.

8. If yes how frequent and how intense?

XXXX: N.A

9. Your partner details- Is she very critical, demands sex more than what can you think, does she feel superior to you or bothers you in some other regards?

XXXX: My partner always support me. Neither she is critical.

10. Effect on your relationship so far due to problem

XXXX: During early marriage days there were some problem, but still not we know that it happens so she support me in that now. But yeah, neither she feels satisfy neither I and this will affect our relationship in the future.

11. Details of medical illness (diabetes and other if any), like duration, any complications, treatment received till date.

XXXX: No Medical illness. But my partner is Type 1 Diabetic and she takes insulin.

12. Medications you are receiving currently, if any including ayurvedic homeopathic or any other.

XXXX: None.

13. Medication you received in past and their effect?

XXXX: None.

14. Do you have any psychiatric illness (like anxiety, depression, fear)?

XXXX: None.

15. Investigations done till date and reports of most latest investigations- serum testosterone, TSH, T3, T4 and any other?

XXXX: None.

Looking forward for the suggestions. :)

Thanks
XXXX