What Causes Erectile Dysfunction And Decreased Semen Quantity?

Posted on Thu, 18 Dec 2014

Question: Hi , My name is XXXX, My problem is loosing erection in between intercourse. and ejaculation takes 10 min hardly, my semen amount too decreased. please help me.

Answered by Dr. Dr. Chintan Solanki (28 minutes later)

Brief Answer:
You can be helped by sex counselling &/or medicine

Detailed Answer:
Hello XXXX,

Thanks for writing to us.

I can understand your concern.

Considering your age of 29, I guess your problem will be psychological.

You seems to have some erectile dysfunction.

Whatever the cause behind your problem , it can be treated with sex related counselling and/or medicines.

In your case to specify the choice of treatment I need to know some detail.

Are you married? If yes, how is relationship with wife. Does she complain about your erectile dysfunction?

If you are unmarried how is your relationship with your female partner?

Is there any social, economical, emotional or relationship stress in your life?

Is there use of any substance like tobacco, alcohol, smoking? If yes provide detail.

Please narrate what excatly happened during sex as you have mentioned minute detail.
Ejaculation is matter of seconds it can not be last for 10 minutes. I think you mean erection by it.Please tell Quantity of semen in mililiter?

Waiting for your response.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Dr. Chintan Solanki (6 minutes later)

I am not married, My sexual relation was good before with my partner, but since a month i am feeling like i am loosing erection while i trying to insert my penis in vagina, than my girl friend does oral for me and it get erects again , I do not have any kind of stress, and yes i am using tobacoo since 8 years.

Answered by Dr. Dr. Chintan Solanki (12 hours later)

Brief Answer:
Consult Psychiatrist/Sexologist

Detailed Answer:
Hello,

Thanks for follow up.

You are used to with sex. Tobacco can affect erection capacity. And from your narration it seems there is erectile dysfunction.

If I would be your treating doctor, following approach will be done.

Your blood pressure and testosterone level should be checked. If both ok, no need to worry. If anything positive, correction of it needed.

I will like to counsel you for tobacco deaddiction and will do the same.

I would like to prescribe tetrafol plus , mecobyleamine and pyridoxal phosphate combination. It is to be taken daily two times after meal.If you find helpful somewhat in 15 days complete the course for 2 months.

Another option is to prescribe 5-PDE inhibitor which includes sildenafil, tadalfil and udenafil. I prefer to start with tadalafil 10 mg. This medicine is to be taken only when needed before 2 hours of sex.

Simultaneously I would like to go for sex counselling in couple if your partner agrees and feasible. As it is useful, specifically Master and XXXXXXX technique is quite helpful which may stop the need of medicines.

So please consult qualified sexologist or psychiatrist(In allopathy medicines sexology subjects comes under psychiatry)

Hope I have answered your query, I will be glad to answer again if need.

Regards,

Dr.Chintan Solanki.
http://bit.ly/drchintansolanki1

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Chintan Solanki (6 hours later)

Hello Doctor i am really satisfied with the answer, I have the last doubt -When penis is erect there is some fluid comes out in gaps.. kind of jelly.. and for me it secreates a lot now a days,,,,is that normal ?

Answered by Dr. Dr. Chintan Solanki (9 hours later)

Brief Answer:
Yes it is normal

Detailed Answer:
Hi XXXX,

I think you are talking about pre ejaculation secretion which is useful for lubrication. It is normal somewhat sticky type of discharge, which occurs when penis got erect. It is just indication of readiness of penis to enter into vagina.This helps to prevent friction with vaginal walls during to and fro movement in intercourse.

It varies in quantity.

If it occurs without erection in excess or foul smelling with itching/burning, you need to go to doctor for check up of urogenital infection. Otherwise it is absolutely normal as I mentioned.

regards,
Dr.Chintan Solanki.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Raju A.T