Suggest Treatment For Erection Problems And Premature Ejaculation

Question: Hi Doctor,
I am 32 years old and married since 2.5 years. My blood tests including testosterone are all normal. I am suffering from a combination of problems when it comes to performing sex with my wife.

1. I do not face problem in getting erection but by the time I perform foreplay, it is gone within a period of 5 minutes XXXXXXX Once gone, it becomes very difficult to gain it, unless my wife does something visually very arousing. However, this may work or not and becomes a challenging task for my wife as well. In the interest of full disclosure, I must also mention that I am bit addicted to porn and masturbation. Many times, I have to hold my penis in one hand while doing the strokes. May be it is too used to the sensation of my hand for retaining erection. Please advise.

2. Secondly, I also face problem of premature ejaculation and within few strokes like 30-40, I usually feel like ejaculating.

3. Thirdly, if I get a full hard erection, my penis does not enter the vagina properly and I find it but painful to make a complete entry. May be the foreskin pains. I am not very sure on this. Is circumcision an option ?

I have not yet consulted any doctor in XXXXXXX Earlier I used to feel frustrated or under pressure because of all these problems. But I have been meditating since past few months so these days even if I fail to perform, I do not feel dejected and disappointed. I must also mention that my partner is very supportive and patient and has never expressed any anger or complain over this issue.

However, it is better to consult an expert. Can you please provide a brief overview of my problem. I was also wondering to take Ayurvedic treatment because I understand that drugs like Sildenafil have long term adverse effects. I have also used desensitizer spray very sparsely, however, it has helped in retaining the erection.

Please help.
Regards

Hi Doctor,

Here are the details.

Weight - 73 kgs
Height - 5 feet 10 inches
Smoking - No; Alcohol - No.

I have become vegetarian since past 1 year and eat less outside. I do not have an erratic lifestyle. Sleeping hours are 6-7 atleast. I have had no extra marital affair and my wife is the first relationship of my life.

Porn - Almost daily basis. I work from home which gives more of this opportunity. But I must clarify that the intensity of getting pleasure in watching is decreasing with every passing day.

But yes, I do like to watch images of models or some scene and then masturbate. Also I must clarify that masturbation need not convert into ejaculation because at times after several strokes, I stop. And then again continue after an interval. This I may repeat several times in a day, whenever I take a break. Does it make any difference?

Technique - I am not very sure with this question. Yes, at times I have also applied KY gel to lubricate both my penis and her vagina. But we use this very rarely.

Another important disclosure I must make her -

Prior to our marriage, when we were dating each other, we never indulged in sex, other than oral sex. So we were quite comfortably in performing the same on each other. After marriage, when penetration had problems due to the erection issue, we mostly indulged in oral sex. Over the time we both have realized that we have become too comfortable with this form of sex so we are trying not to get carried away by this anymore and consciously engage in full sex.

The main reason behind this practice was me because when penetration did not happen due to erection, I tried to satisfy my partner with oral sex. And thus this became more of a habit and reason to escape disappointment.

Please give your views on this.

Also I must mention that PE does not happen always but yes climaxing within 30-40 strokes is too early I guess. This could also because of my indulgence in masturbation during the day time where I bring it several times to a point and do not ejaculate. So later on at night, within few strokes, the ejaculation happens. This is my understanding after observing my body. You may disagree.

Please give your views on this.

I am working seriously on my habit of masturbation and watching porn. But I was also wondering if I should try taking some pills and then see if it makes any difference to my erection and PE.

Would really appreciate if you may reply to all the issues I have mentioned in the first and this mail.

Thanks

Thank you so much Doctor for your detailed reply.

So do I fall in the category of ED?

Generally how much time is considered to be healthy duration for penetration?

I know it is highly subjective, yet I suppose some average must have been observed over these years. In my case, barring only few instances, I have never ever felt complete either because of loss of erection or PE or some pain in the foreskin area which prevents a complete penetration, although there is complete erection.

Since you have advised me techniques with respect to condoms, I must disclose that I have never had sex even once using condoms. Infact, I cannot wear a condom because I find it slightly painful rolling the condom over the foreskin area and once I try doing it, even slightest of discomfort makes me lose my erection.

Am I fit case for consumption of medicines? How do I make out whether I have phimosis or not?

I am working on my daily habit of watching porn or something arousing which inevitably results in masturbation with our without ejaculation. I am trying to undo this habit pattern and sincerely hope that this would change the situation for better.

However, it would still be great if you suggest me names of few good doctors in Delhi? Any super specialty hospital would also do. But do mention the names.

Regards