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Suggest Treatment For Psychological Erectile Dysfunction
Question: Dear Sir,
I am XXXXXXX at 36 yrs, height 6ft, weight 75kgs, unmarried. I am suffering from very poor confidence in erection since my early 20s.
When I was 14 I started a practice of sex with bed means I used to press my penis against bed as if I lie over a woman. As I apply back forth motion my penis erected. I continued such process of apparent having sex against bed until the penis gave the feeling of ejaculation. While performing I used to imagine my women of choice. I continued that practice for 3-4 years. At one stage I became very weak and my urge for the practice of bed sex declined to none.
Several times I took treatment to recover from the feeling of declined sex appeal. During treatment I used to get huge continuous erection and strong desire for practical sex. Such urge during medication becomes so uncontrollable that it remained erected for 2-3 days but I never masturbated again. Once stopped taking medicine my frequency of erection declined gradually day by day. Eventually it seemed to me that my penis is not strong enough to have sex with women. But I have never had practical experiences of sex.
Each time doctors mostly prescribed different variations of A-Z multivitamin tablets for 2-3 months with some additional medicines. I even tried herbal treatment but results were similar means sudden increase in sexual desire for some days then gradually decreases.
At this age I do not feel the courage to get married because I got the feeling that my penis is very small. Even if sometimes my penis erects it ejaculates in 1-2 minutes. Also I get irregular night falls. It might happen twice in a week or may be 3-4 times a month.
Now I have no confidence to undertake marriage because I feel my penis will not erect before a women in bed. Also have suspicion even if it erects it will ejaculate in less than one minute before entering vagina. Also feel it will not get hard enough to be able to insert. I feel as if I am scared about marriage.
I do not even feel the urge to masturbate since my problem started except during medication. Most of the times when my penis gets slightest erection inside underwear it give marks of secreted semen.
I also feel that watching sensitive parts of young beautiful women does not generate strong sexual feeling in me because I do not feel to masturbate after seeing beautiful women.
This problem with erection sustenance is increasing my stress and anxiety which ultimately negatively affecting my desire for erection that is creating a feeling in me that my penis has become too small and too weak.
I did ultra sonogram of penis and testis according to recommendation of a sex specialist the results showed they are normal in size.
Also I did a sex related hormone test according to recommendations of a medicine specialist. Those results were also good.
Would you please suggest probable treatment, including doses and duration, for me to help restore my sexual capability? Is it treatable in Bangladesh?
Best Regards,
XXXXXX
XXXXXXX
I am XXXXXXX at 36 yrs, height 6ft, weight 75kgs, unmarried. I am suffering from very poor confidence in erection since my early 20s.
When I was 14 I started a practice of sex with bed means I used to press my penis against bed as if I lie over a woman. As I apply back forth motion my penis erected. I continued such process of apparent having sex against bed until the penis gave the feeling of ejaculation. While performing I used to imagine my women of choice. I continued that practice for 3-4 years. At one stage I became very weak and my urge for the practice of bed sex declined to none.
Several times I took treatment to recover from the feeling of declined sex appeal. During treatment I used to get huge continuous erection and strong desire for practical sex. Such urge during medication becomes so uncontrollable that it remained erected for 2-3 days but I never masturbated again. Once stopped taking medicine my frequency of erection declined gradually day by day. Eventually it seemed to me that my penis is not strong enough to have sex with women. But I have never had practical experiences of sex.
Each time doctors mostly prescribed different variations of A-Z multivitamin tablets for 2-3 months with some additional medicines. I even tried herbal treatment but results were similar means sudden increase in sexual desire for some days then gradually decreases.
At this age I do not feel the courage to get married because I got the feeling that my penis is very small. Even if sometimes my penis erects it ejaculates in 1-2 minutes. Also I get irregular night falls. It might happen twice in a week or may be 3-4 times a month.
Now I have no confidence to undertake marriage because I feel my penis will not erect before a women in bed. Also have suspicion even if it erects it will ejaculate in less than one minute before entering vagina. Also feel it will not get hard enough to be able to insert. I feel as if I am scared about marriage.
I do not even feel the urge to masturbate since my problem started except during medication. Most of the times when my penis gets slightest erection inside underwear it give marks of secreted semen.
I also feel that watching sensitive parts of young beautiful women does not generate strong sexual feeling in me because I do not feel to masturbate after seeing beautiful women.
This problem with erection sustenance is increasing my stress and anxiety which ultimately negatively affecting my desire for erection that is creating a feeling in me that my penis has become too small and too weak.
I did ultra sonogram of penis and testis according to recommendation of a sex specialist the results showed they are normal in size.
Also I did a sex related hormone test according to recommendations of a medicine specialist. Those results were also good.
Would you please suggest probable treatment, including doses and duration, for me to help restore my sexual capability? Is it treatable in Bangladesh?
Best Regards,
XXXXXX
XXXXXXX
Brief Answer:
Yes it is treatable
Detailed Answer:
Dear XXXXXX,
Thanks for using healthcaremagic.
I read your query and understand your concern.
As I gone through your query It seemed that you are suffering with psychological erectile dysfunction which is common at your age. People get scared with slightest of deviation and continue to think about the sexual capacity in negative way after a simple misadventure.
Presence of night falls is never a bad as it reflects you have enough semen which need release. Those who are sexually active or doing masturbation do not get this problem as the semen released through those means. In your case since you stopped masturbation and no experience of sex, it getting released because it is excessive. The time also extends once you become sexually active. Presence of sexual activity for one to two minutes shows that you have extremes of anxiety about your sexual capacity.
I also like to inform you that having masturbation is normal and it does not create any problem. You developed this fear because of some myths in your friend circle that masturbation leads to problem. Around 95 % of me masturbate in their life and many of them continue it till late age. I have seen patients who continue to masturbate upto 80 years of age.
Having said this I like to inform you following things
1, Your most of the problem seems to be related to excessive anxiety and fear of failures.
2. You do not have any internal problem with erection as shown by your ultrasonography and hormone level.
3. Since there is no problem stop worrying about anything
4. Meet a sexologist/psychiatrist in your city for counselling
5. Your need for medicine is limited and you need to know how to control anxiety.
6. Once you are able to overcome fear everything will be normal.
'Hope I have answered your query. If you have any further questions I will be happy to help".
Thanks
Yes it is treatable
Detailed Answer:
Dear XXXXXX,
Thanks for using healthcaremagic.
I read your query and understand your concern.
As I gone through your query It seemed that you are suffering with psychological erectile dysfunction which is common at your age. People get scared with slightest of deviation and continue to think about the sexual capacity in negative way after a simple misadventure.
Presence of night falls is never a bad as it reflects you have enough semen which need release. Those who are sexually active or doing masturbation do not get this problem as the semen released through those means. In your case since you stopped masturbation and no experience of sex, it getting released because it is excessive. The time also extends once you become sexually active. Presence of sexual activity for one to two minutes shows that you have extremes of anxiety about your sexual capacity.
I also like to inform you that having masturbation is normal and it does not create any problem. You developed this fear because of some myths in your friend circle that masturbation leads to problem. Around 95 % of me masturbate in their life and many of them continue it till late age. I have seen patients who continue to masturbate upto 80 years of age.
Having said this I like to inform you following things
1, Your most of the problem seems to be related to excessive anxiety and fear of failures.
2. You do not have any internal problem with erection as shown by your ultrasonography and hormone level.
3. Since there is no problem stop worrying about anything
4. Meet a sexologist/psychiatrist in your city for counselling
5. Your need for medicine is limited and you need to know how to control anxiety.
6. Once you are able to overcome fear everything will be normal.
'Hope I have answered your query. If you have any further questions I will be happy to help".
Thanks
Above answer was peer-reviewed by :
Dr. Yogesh D
Dear Sir,
Thank you for answering my query.
As you have suggested, I will try to meet a sexologist in Dhaka at the earliest may be within days. There is a common complain about specialist doctors in XXXXXXX with some exception that they do not put proper attention to the patients’ concerns when they meet. Most of Them spent less with patients’ during consultation and are less friendly.
My country is self reliant in producing more than 95% of our annual domestic requirement of medicine. Although we export medicine products to many countries in XXXXXXX Latin XXXXXXX and even Europe some people allege that our medicines are less effective than those produced in the USA, EU, and Canada etc.
Considering the above scenarios I would like to know the opinion of a sexologist regarding my problems from your end before I meet a sexologist in my city Dhaka. I thing that will be helpful for me since Heathcaremagic.com specialists have much more experience, expertise and exposer than Bangladeshi doctors.
Also I want to know the specifics about some reputed XXXXXXX USA, EU or Canadian medicines which might be needed for my treatment. Once I meet a sexologist in Dhaka I will come back to healthcare.com with the issued prescription and diagnostic test results if the doctor recommends any test. I want to take foreign equivalents of our local medicines.
Best Regards,
XXXXXXX
XXXXXX, XXXXXXX
Thank you for answering my query.
As you have suggested, I will try to meet a sexologist in Dhaka at the earliest may be within days. There is a common complain about specialist doctors in XXXXXXX with some exception that they do not put proper attention to the patients’ concerns when they meet. Most of Them spent less with patients’ during consultation and are less friendly.
My country is self reliant in producing more than 95% of our annual domestic requirement of medicine. Although we export medicine products to many countries in XXXXXXX Latin XXXXXXX and even Europe some people allege that our medicines are less effective than those produced in the USA, EU, and Canada etc.
Considering the above scenarios I would like to know the opinion of a sexologist regarding my problems from your end before I meet a sexologist in my city Dhaka. I thing that will be helpful for me since Heathcaremagic.com specialists have much more experience, expertise and exposer than Bangladeshi doctors.
Also I want to know the specifics about some reputed XXXXXXX USA, EU or Canadian medicines which might be needed for my treatment. Once I meet a sexologist in Dhaka I will come back to healthcare.com with the issued prescription and diagnostic test results if the doctor recommends any test. I want to take foreign equivalents of our local medicines.
Best Regards,
XXXXXXX
XXXXXX, XXXXXXX
Brief Answer:
Do visit us whenever you feel the requirement
Detailed Answer:
Dear XXXXXXX,
Thanks for reverting back to me.
First of all thanks for your encouraging words about healthcaremagic and it's doctors.
I am not much aware about medical system in XXXXXXX But I hope you will find a suitable expert in your city.
In regard to your passing remark about medicines, I like to tell you that most of drug companies follow the rigorous quality control and I hope they do same there in your country. Although if you have any questions about any drug I will be answer you.
Having said this, I also like to tell you that your condition is more of psychological and medicines have less contribution that counseling. You need to find a right doctor in your city before thinking about right medicine.
I like to assure you that your condition can be treated with one or less medication at all.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
Thanks and regards
Do visit us whenever you feel the requirement
Detailed Answer:
Dear XXXXXXX,
Thanks for reverting back to me.
First of all thanks for your encouraging words about healthcaremagic and it's doctors.
I am not much aware about medical system in XXXXXXX But I hope you will find a suitable expert in your city.
In regard to your passing remark about medicines, I like to tell you that most of drug companies follow the rigorous quality control and I hope they do same there in your country. Although if you have any questions about any drug I will be answer you.
Having said this, I also like to tell you that your condition is more of psychological and medicines have less contribution that counseling. You need to find a right doctor in your city before thinking about right medicine.
I like to assure you that your condition can be treated with one or less medication at all.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
Thanks and regards
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
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