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What Is The Cause And Treatment For Erectile Dysfunction?

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Posted on Mon, 14 Jul 2014
Question: Wife of 49 year old man - married 17 years - he can get a erection just fine while masturbating (without me) but when we start foreplay, there is either no erection or very little even if I give him oral sex. He claims he wants to have sex with me. This has been happening on and off for years. Any advice, besides see a sex therapist?
doctor
Answered by Dr. Abhishek Kapoor (3 hours later)
Brief Answer:
You can try sex in different postion

Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr XXXXXXX Kapoor, would help you in this query.

I think, he has psychogenic erectile dysfunction. First of all, i want to tell about the basic mechanism that lead good erection. It include sexual thoughts, hormone and good penial circulation. When a person has sexual thoughts in mind, that lead to release of some hormone or chemical in body that increase circulation in penis. This lead to complete erection in penis. After getting erection, due to excitement, most of time it is difficult to control ejaculation. In your case that may be the reason.

Just follow few steps that would help you to overcome this problem:

1. Increase duration of foreplay. That would increase sexual urge and duration of sex. (Foreplay is also part of sex. Do not under estimate it.)
2. Can also try some drugs like paroxetine due to its longer half time than depoxetine after consultation of psychiatrist. Paroxetine would work for 24 hours and depoxetine would stay for 6 hours. Paroxetine would also help to decrease underline anxiety, but remember sex does not depend upon drugs. It is a pleasure that you can get any time and any where. He just need thoughts rather than drugs. If he want to take medicine, then take paroxetine 12.5 mg once a day. He can also take tadalafil 10 mg half hour before sex. There is no major side effects of above drugs.
3. If your partner is in favor for sex, then you and your partner can also go for master and XXXXXXX technique.
4. You can also try sex in different position and different location at home. That would help to get more arousal and better erection. Like, in women on top position, he would be less tense about erection and that would give him better erection.
5. You can also try oral sex and that would give you some sexual pleasure.


In case you need further help, you can help.

Regards
Dr. XXXXXXX Kapoor
Psychiatrist
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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What Is The Cause And Treatment For Erectile Dysfunction?

Brief Answer: You can try sex in different postion Detailed Answer: Hi Thanks for using healthcare magic. I, Dr XXXXXXX Kapoor, would help you in this query. I think, he has psychogenic erectile dysfunction. First of all, i want to tell about the basic mechanism that lead good erection. It include sexual thoughts, hormone and good penial circulation. When a person has sexual thoughts in mind, that lead to release of some hormone or chemical in body that increase circulation in penis. This lead to complete erection in penis. After getting erection, due to excitement, most of time it is difficult to control ejaculation. In your case that may be the reason. Just follow few steps that would help you to overcome this problem: 1. Increase duration of foreplay. That would increase sexual urge and duration of sex. (Foreplay is also part of sex. Do not under estimate it.) 2. Can also try some drugs like paroxetine due to its longer half time than depoxetine after consultation of psychiatrist. Paroxetine would work for 24 hours and depoxetine would stay for 6 hours. Paroxetine would also help to decrease underline anxiety, but remember sex does not depend upon drugs. It is a pleasure that you can get any time and any where. He just need thoughts rather than drugs. If he want to take medicine, then take paroxetine 12.5 mg once a day. He can also take tadalafil 10 mg half hour before sex. There is no major side effects of above drugs. 3. If your partner is in favor for sex, then you and your partner can also go for master and XXXXXXX technique. 4. You can also try sex in different position and different location at home. That would help to get more arousal and better erection. Like, in women on top position, he would be less tense about erection and that would give him better erection. 5. You can also try oral sex and that would give you some sexual pleasure. In case you need further help, you can help. Regards Dr. XXXXXXX Kapoor Psychiatrist