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What Causes Loss Of Erection During Intercourse In A 41 Year Old Man?
Question: Hi I am a male of 41 yrs recently I have been facing ED during intercourse. That has been started after 14th April, 2016 the last intercourse i did. Most of the early morning my penis get erected that let me wake up from sleeping and i feel the urge of having sex but while i try to do it with my wife the erection goes off and whole things / excitement / erections are lost. Though during masturbation it gets erected and ejaculates. For removing fatigues and to perform better, I started taking Apollo Musli plus (Ayurvedic Harbal Medicine) but those all energies me to masturbate but can not help to do intercourse as my erection can not sustain long to insert.
I have never faced the kind of experience earlier, though some times urge did not grow at past due tiredness but that had regained automatically. And sometimes boredom worked. My Blood Glucose level that i checked through a machine of blood glucose meter namely, Accu Chek which showed the level is 96 at 11.30 am on 13.05.16
What is the reason and what should I do at the moment?
Is it the symptoms of ED for future or do I lost my potency?
How can I cope up this?
Is there any normal remedies?
What medicine should i take temporarily to cope up the situation?
Please advise thoroughly.
I have never faced the kind of experience earlier, though some times urge did not grow at past due tiredness but that had regained automatically. And sometimes boredom worked. My Blood Glucose level that i checked through a machine of blood glucose meter namely, Accu Chek which showed the level is 96 at 11.30 am on 13.05.16
What is the reason and what should I do at the moment?
Is it the symptoms of ED for future or do I lost my potency?
How can I cope up this?
Is there any normal remedies?
What medicine should i take temporarily to cope up the situation?
Please advise thoroughly.
Brief Answer:
go for serum testosterone level and start tetrafol plus
Detailed Answer:
Hello,
Thanks for writing to us.
You can masturbate. Morning erection is present. Blood sugar level is normal. These all factors suggest that there is no likely physical problem responsible for erectile dysfunction.
You should do following things.
- Go to doctor for routine physical check up and get your blood pressure checked.
- Go for fasting serum testosterone level for assurance. In any case if it comes low, supplement can be given.
Possibility of performance anxiety is there.
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 masturbation 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.
For a while you can use tetrafol plus. It helps in erectile dysfunction in patients with hypertension and diabetes also. I get response in my 50-60 of patients. It contains vitamins like pyridoxine, mecobalamine and mefolate which help in dilatation of penile vessels. It has no side effects and it should be taken one tablet after meal two times up to 0 days. If you feel response continues it for 2 months.
You can continue Musli.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 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 I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
go for serum testosterone level and start tetrafol plus
Detailed Answer:
Hello,
Thanks for writing to us.
You can masturbate. Morning erection is present. Blood sugar level is normal. These all factors suggest that there is no likely physical problem responsible for erectile dysfunction.
You should do following things.
- Go to doctor for routine physical check up and get your blood pressure checked.
- Go for fasting serum testosterone level for assurance. In any case if it comes low, supplement can be given.
Possibility of performance anxiety is there.
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 masturbation 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.
For a while you can use tetrafol plus. It helps in erectile dysfunction in patients with hypertension and diabetes also. I get response in my 50-60 of patients. It contains vitamins like pyridoxine, mecobalamine and mefolate which help in dilatation of penile vessels. It has no side effects and it should be taken one tablet after meal two times up to 0 days. If you feel response continues it for 2 months.
You can continue Musli.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 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 I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Prasad
Sir,
Thanks for the advise. I shall definitely examine the serum testosterone level. was it done through blood test.
My past BP was 125/90
Up to how many days I should continue Tetrafol Plus? Will that work for erection in long duration?
Please advise!
Regards
XXXX XXXXXXX
Thanks for the advise. I shall definitely examine the serum testosterone level. was it done through blood test.
My past BP was 125/90
Up to how many days I should continue Tetrafol Plus? Will that work for erection in long duration?
Please advise!
Regards
XXXX XXXXXXX
Brief Answer:
yes it is blood test
Detailed Answer:
Hello Mr. XXXXXXX XXXXXXX
Yes it is blood test.You should give morning (fasting) blood sample to measure serum testosterone level (free and total testosterone).
Your past BP is fine.
Sorry for technical error in past answer about tetrafol plus.Instead of 0 it was 20. It has no side effects and one tablet should be taken after meal two times a day up to 20 days. If you feel response, continue it for 2 months.Yes it helps in 50-60% of my patients for long duration.
Feel free to ask your doubts.
Take care.
yes it is blood test
Detailed Answer:
Hello Mr. XXXXXXX XXXXXXX
Yes it is blood test.You should give morning (fasting) blood sample to measure serum testosterone level (free and total testosterone).
Your past BP is fine.
Sorry for technical error in past answer about tetrafol plus.Instead of 0 it was 20. It has no side effects and one tablet should be taken after meal two times a day up to 20 days. If you feel response, continue it for 2 months.Yes it helps in 50-60% of my patients for long duration.
Feel free to ask your doubts.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Hi Doctor!
I have started taking Tetrafol Plus (Levomefolate calcium, pyridoxal 5-phosphate, mecobalamin)along with Musli Plus (Apollo). Will that work in this matter?
If i think of other woman during masturbation and watch porn my penis start sensing and get erected.
Actually my problem is my wife is not so keen to get engaged in foreplay activity not even kin to have sex periodically. All are to drive at my own desire. Even though if my desire rises that has to get reality after convincing and struggling,when real time comes and all drive I am to take from my own effort, my penis loses it erection to insert. Even earlier I did at my own drive and get the intercourse complete. But, It has recently been developed to me from mid April'16, i.e. last 1 and 1/2 months. Even on 14th April , I did intercourse for long but could not concentrate and ultimately could not ejaculate. Thereafter, I tried in some other day but that got interrupted in the MID. And thereafter this erectile problem started. Am I loosing sensitivity of my penis glan?. I don't know why it happens.
What is alternative to keep thing intact at my own desire and drive.
Please advise!
Age of the patient: 41 Years, Patient's gender: Male
I have started taking Tetrafol Plus (Levomefolate calcium, pyridoxal 5-phosphate, mecobalamin)along with Musli Plus (Apollo). Will that work in this matter?
If i think of other woman during masturbation and watch porn my penis start sensing and get erected.
Actually my problem is my wife is not so keen to get engaged in foreplay activity not even kin to have sex periodically. All are to drive at my own desire. Even though if my desire rises that has to get reality after convincing and struggling,when real time comes and all drive I am to take from my own effort, my penis loses it erection to insert. Even earlier I did at my own drive and get the intercourse complete. But, It has recently been developed to me from mid April'16, i.e. last 1 and 1/2 months. Even on 14th April , I did intercourse for long but could not concentrate and ultimately could not ejaculate. Thereafter, I tried in some other day but that got interrupted in the MID. And thereafter this erectile problem started. Am I loosing sensitivity of my penis glan?. I don't know why it happens.
What is alternative to keep thing intact at my own desire and drive.
Please advise!
Age of the patient: 41 Years, Patient's gender: Male
Brief Answer:
couple counseling is needed
Detailed Answer:
Hi,
Thanks for new information.
Yes supplements will help.
Sex is not merely meeting of two bodies. It is more than that.Sex is not only interaction between two bodies it very complex interaction of body, mind, emotions and needs of male and female. Without foreplay it is just like mechanical process.We should find the reasons that why she is not actively involved in sex. You are easily aroused by porn or thoughts of other woman means you are absolutely fine and there is no problem in you.
Your wife is just present physically in sex. She is not active to arouse you or make you feel that she is enjoying.
You both need to understand and respect partner's view on sex. Both have to adjust as well compromise to reach on common goal of sex. For that you need couple counseling by an expert. You alone cannot solve problem in fruitful manner.
Discuss this with her and move forward. Or just let me know what does she think and why is she not actively involved?
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.
couple counseling is needed
Detailed Answer:
Hi,
Thanks for new information.
Yes supplements will help.
Sex is not merely meeting of two bodies. It is more than that.Sex is not only interaction between two bodies it very complex interaction of body, mind, emotions and needs of male and female. Without foreplay it is just like mechanical process.We should find the reasons that why she is not actively involved in sex. You are easily aroused by porn or thoughts of other woman means you are absolutely fine and there is no problem in you.
Your wife is just present physically in sex. She is not active to arouse you or make you feel that she is enjoying.
You both need to understand and respect partner's view on sex. Both have to adjust as well compromise to reach on common goal of sex. For that you need couple counseling by an expert. You alone cannot solve problem in fruitful manner.
Discuss this with her and move forward. Or just let me know what does she think and why is she not actively involved?
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.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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