Brief Answer:
your problem seems psychological likely

Detailed Answer:
Hello XXXX,

Thanks for writing to us. I can understand your concern. My answer will be somewhat long but it is necessary to address your concern thoroughly.

You are able to do masturbation but there is problem in erection while doing sex. You have attempted sex recently only. This suggests that there is some psychological problem rather than physical problem.

Many young men like you fail to do sex initially and there is absolutely fine. Practice makes the man perfect.

If you are able to retract your foreskin without any pain, there is no serious problem at all. During masturbation man can enjoy without foreskin retraction while during sex it should be retracted behind the glans. Glans is very sensitive structure so initially on touching you may loose erection. However as you will involve your self in sex more your glans will get adjusted and you will be able to enjoy and satisfy your partner. Yes it is also normal to retract foreskin back to normal manually after erection.

There may be possibility of performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.

While doing sex keep yourself relax.

Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.

If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.

In any case in future you will fail after multiple attempts; medicines are there to get confidence.After successful attempts with medicines you can gradually do the same without medicines.

5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 2 hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.

Hope this answer will help, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

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Brief Answer:
continue masturbation

Detailed Answer:
Hello XXXX,

Thanks for follow up. As age progresses penis becomes less/differently sensitive to untouched stimuli and for erection touch is required.You are passing through normal phase.

I want to clarify about the masturbation.
Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity. No need to worry about your habit of masturbation.

So no need to stop masturbation. You can enjoy safe sex whenever you get chance.


To resolve your query about small penis let me know your size of penis in flaccid and erect state.

Also let me know that are you from India?

Take care.

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Brief Answer:
size if fine

Detailed Answer:
Hello ,

Thanks for information.

Normal size of penis in flaccid state is 2 to 4 inches (5 to 10 cm) while in erect position 4 to 7 inches (10 to 15 cm). It varies according to body structure and race. Size of penis does not matter much for satisfying partner.
Anterior 2-3 inches of female vaginal wall is sensitive to sexual stimuli. Only 3.5 inches of erect penis is sufficient to satisfy female. The average girth for an erect penis is 12-13cm (4.7-5.1 inches).

Your size if sufficient to satisfy your partner.

As you are form XXXXXXX background I would like to mention ayurvedic supplement option. Tentax forte is the medicine which is used for good erection.No side effects has been reported. Two tablets daily at night with a cup of milk should be taken for one month.

Feel free to discuss further.

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Brief Answer:
yes you can get it without prescription

Detailed Answer:
Hi,

Yes you can get it without prescription. No there will be no health problem at all if you take it daily. It is from himalaya company.

If still any query there, I will be happy to answer if not, you can close the discussion and if feasible give your feedback and rating so I can improve my service.

In future if you wish you can contact me directly on this site with following link:
http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page with three follow up questions.

All the best.

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Brief Answer:
During sex this will not happen

Detailed Answer:
Hi,

Thanks for follow up.

Early ejaculation is also common concern of many young men like you specifically before marriage. Masturbation and sex are different approaches of achieving same goal with somewhat different mechanism. In masturbation stimulation occurs by hand while in sex it occurs by smooth friction with vagina. Naturally orgasm and ejaculation happen after longer duration than that is in masturbation. Please keep your mind relax about this concern and whenever you attempt sex, try to enjoy without such apprehension.

According to the latest diagnostic criteria by DSM 5, premature ejaculation should be defined when there is ejaculation within one minute after entering tin to vagina or even before penetration.

From your history I am sure that you can satisfy your partner without any problem.

In any case if there is early ejaculation it is absolutely treatable condition with medicines and/or behavioral modifications.

Hope you will feel relief after reading the answer.

Take care.

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