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Suggest Treatment For Severe Anxiety And Erectile Dysfunction
Question: Hi,
I am 38 years old and have been.suffering from issus related to irregular ED syndrome for past 3 years. I consulted the doctor 2 years back, who performed all possible tests and reported that though the blood flow to Penis is slightly low, it should not be causing issues. He said my ED problem is more due to anxiety and.mental in nature...After that i have been having this problem on and off, sometimes I have normal sex, sometimes.i ejaculate prematurely, and.sometimes i have erection issues ( losing hardness in the middle of contact)..we have been planning for a baby, but due to ED i am.unable to have contact in all days.of fertile.period. i have contact only once or twice during the fertile period, but not on all days as doc recommend..i was prescribed to use tadalafil 10.mg or silenafil citrate during the 4 day fertile.period..however.when i.use tadalafil, i tend.to have erection.issues whenever i become.anxious about having contact.With respect to silenafil citrate, when i took it couple of times, i went on.performing sex for an hour but didn't ejaculate. So, need your help on how to cure this problem on.long term and in.short.term.how to.have contact during.my wife's fertile period without anxiety.
I am 38 years old and have been.suffering from issus related to irregular ED syndrome for past 3 years. I consulted the doctor 2 years back, who performed all possible tests and reported that though the blood flow to Penis is slightly low, it should not be causing issues. He said my ED problem is more due to anxiety and.mental in nature...After that i have been having this problem on and off, sometimes I have normal sex, sometimes.i ejaculate prematurely, and.sometimes i have erection issues ( losing hardness in the middle of contact)..we have been planning for a baby, but due to ED i am.unable to have contact in all days.of fertile.period. i have contact only once or twice during the fertile period, but not on all days as doc recommend..i was prescribed to use tadalafil 10.mg or silenafil citrate during the 4 day fertile.period..however.when i.use tadalafil, i tend.to have erection.issues whenever i become.anxious about having contact.With respect to silenafil citrate, when i took it couple of times, i went on.performing sex for an hour but didn't ejaculate. So, need your help on how to cure this problem on.long term and in.short.term.how to.have contact during.my wife's fertile period without anxiety.
Brief Answer:
Please provide more details
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I have gone through your details and understand your concerns. However before I can suggest anything I like to reconfirm diagnosis made by another doctor.
I request you to provide following information point wise so the diagnosis can be made and suitable remedy can be offered.
1. Have you experienced similar issues in the past?
2. How the problem started ? It was built up slowly or abruptly?
3. What could be the factor according to you for onset of problem?
4. Frequency of the problem in last one month ? What number of sexual intercourse/masturbation failed in last one month?
5. What are the factors that increase the problem?
6. Factors that relieve the problem- you can describe them in detail if any?
7. Do you get early morning erection?
8. If yes how frequent and how intense? Please answer this necessarily.
9. Details of past medical illnesses, like duration, any complications, treatment received till date.
10. Investigations done till date and reports - please attach them.
11. Do you have any psychiatric illness?
12.Any other problem you like to report
14. Your body weight and height
15. Your age
I must assure you that once we know the cause I can you guide you better in regard to treatment.
Thanks again
I look forward to see above details.
Thanks and regards.
Please provide more details
Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.
I have gone through your details and understand your concerns. However before I can suggest anything I like to reconfirm diagnosis made by another doctor.
I request you to provide following information point wise so the diagnosis can be made and suitable remedy can be offered.
1. Have you experienced similar issues in the past?
2. How the problem started ? It was built up slowly or abruptly?
3. What could be the factor according to you for onset of problem?
4. Frequency of the problem in last one month ? What number of sexual intercourse/masturbation failed in last one month?
5. What are the factors that increase the problem?
6. Factors that relieve the problem- you can describe them in detail if any?
7. Do you get early morning erection?
8. If yes how frequent and how intense? Please answer this necessarily.
9. Details of past medical illnesses, like duration, any complications, treatment received till date.
10. Investigations done till date and reports - please attach them.
11. Do you have any psychiatric illness?
12.Any other problem you like to report
14. Your body weight and height
15. Your age
I must assure you that once we know the cause I can you guide you better in regard to treatment.
Thanks again
I look forward to see above details.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
I have been having this issue from the time of Marriage (3 years back). We generally have contact once or twice a fortnight, and increase the frequency during my wife's fertile period. My weight is 76 kg and height 168 cm. I have morning erections 3-4 days a week and they are strong some days and semi strong other days. When I am relaxed and no lingering doubts, then everything is fine. But if have doubys before i start or during the contact, then i.lose erections. I have high cholesterol (260) but other than that everything else is okay.
I have been having this issue from the time of Marriage (3 years back). We generally have contact once or twice a fortnight, and increase the frequency during my wife's fertile period. My weight is 76 kg and height 168 cm. I have morning erections 3-4 days a week and they are strong some days and semi strong other days. When I am relaxed and no lingering doubts, then everything is fine. But if have doubys before i start or during the contact, then i.lose erections. I have high cholesterol (260) but other than that everything else is okay.
Brief Answer:
It is psychological
Detailed Answer:
Dear XXXXXXX
Thanks for follow up with relevent details.
Considering your current response I am convinced with diagnosis of psychological ED in your case.
Below here I am delineating few of the strategies which will help you in the erection problem.
Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual indequacy, self-doubts, guilt, past negative sexual experiences, poor communication / understanding with the partner, etc. can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will definitely help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy and love. So, just involve yourself in those feelings and stop focusing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve.
Most importantly, performance anxiety soon becomes a "vicious cycle" That is, anxiety leads to poor performance and poor performance then leads to further anxiety and this keeps on increasing. In my view this vicious cycle already established in your case and there is definite need to break it altogether and take control of yourself.
One more problem responsible for psychogenic ED is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly, but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you don't have to be constantly anxious if you are satisfying your partner or not.
Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused.
Wish you all the best in your sexual health.
I hope this helps you further.
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 my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
It is psychological
Detailed Answer:
Dear XXXXXXX
Thanks for follow up with relevent details.
Considering your current response I am convinced with diagnosis of psychological ED in your case.
Below here I am delineating few of the strategies which will help you in the erection problem.
Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual indequacy, self-doubts, guilt, past negative sexual experiences, poor communication / understanding with the partner, etc. can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will definitely help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy and love. So, just involve yourself in those feelings and stop focusing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve.
Most importantly, performance anxiety soon becomes a "vicious cycle" That is, anxiety leads to poor performance and poor performance then leads to further anxiety and this keeps on increasing. In my view this vicious cycle already established in your case and there is definite need to break it altogether and take control of yourself.
One more problem responsible for psychogenic ED is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly, but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you don't have to be constantly anxious if you are satisfying your partner or not.
Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused.
Wish you all the best in your sexual health.
I hope this helps you further.
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 my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Doctor.
Are there any medications that can help me? I do understand the reasons but am unable to control yhe anxiousness or self doubt. When this happens during my wife's fertile period, it causes more issues and negatively impacts the pregnancy chances.
Are there any medications that can help me? I do understand the reasons but am unable to control yhe anxiousness or self doubt. When this happens during my wife's fertile period, it causes more issues and negatively impacts the pregnancy chances.
Brief Answer:
Propranolol can be used
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
First of all I would say that if you accept you will not be able to do it, definitely you will not be able to do it. I understand that you had the problems in the past that keeping the problem alive especially during fertile period but it does not mean you will not be able to do it.
However for the short term benefit I will recommend propranolol 20 mg which acts as anti anxiety medications and there is enormous chance to be helpful for you. This need to be taken on daily basis. Since it is prescription only medication you may need to see a doctor to buy it from pharmacy.
I hope this helps you further.
Thanks and regards.
Propranolol can be used
Detailed Answer:
Dear XXXXXXX
Thanks for follow up.
First of all I would say that if you accept you will not be able to do it, definitely you will not be able to do it. I understand that you had the problems in the past that keeping the problem alive especially during fertile period but it does not mean you will not be able to do it.
However for the short term benefit I will recommend propranolol 20 mg which acts as anti anxiety medications and there is enormous chance to be helpful for you. This need to be taken on daily basis. Since it is prescription only medication you may need to see a doctor to buy it from pharmacy.
I hope this helps you further.
Thanks and regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Doctor
Brief Answer:
You are always welcome
Detailed Answer:
Dear XXXXXXX
Thanks for yourfeedback.
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 my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
You are always welcome
Detailed Answer:
Dear XXXXXXX
Thanks for yourfeedback.
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 my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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