Brief Answer: Its psychological cause Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. These complains are very common and I see many such patients in my clinic. The fact that you are able to attain an erection while watching porn rules out the organic causes for the erectile disorder. Its unfortunate that you loose the erection mid way but you can be sure that your genitals are perfectly fine. The reason is psychological and the problem is in the mind. It has to do something with the way you think about sex or it could be stress related . Probably there is some urgency or concern or pressure to perform or some problem with the way you think about sex. And this disturbing thought is basically making you loose erection. You will need intensive sex therapy and cognitive therapy to overcome this problem. Also possible is the relationship issue. Many times there is a problem in the relationship among the partners which finally reflects as difficulty to have an erection and do sex. You need to see a sexologist or a psychiatrist for this purpose who will evaluate you in detail face to face and identify the exact problem with your thinking or relationship with your partner and try to correct it. Sensate focus therapy is a good option for erectile dysfunction as it firstly removes the pressure for performance for 2 weeks. In this therapy sessions for the first 2 weeks, partners take turn to stimulate each other without touching the genitals. Some may use perfumes or creams or oils as well. Copulation is prohibited. In the next two weeks genitals can be used for stimulation but the actual sex is still prohibited. This 4 weeks session is done without the pressure for performance on the man and instills lot of confidence in him. then after 4 weeks, regular sex is started and the problem of erectile dysfunction is solved. Believe me, this problem is not going to correct itself with time or even with medicines. So the ones which are available over the counter for erectile dysfunction may not be useful for you. Drugs like zydas which has tadalafil in it is a similar drug as viagra and is given for organic sexual dysfunctions especially in old age. It may help you but the root cause has to be treated. Its not a cure. 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. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.

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