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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Erectile Dysfunction

hello doctor please advice me from last 2 months my interest towards sex is getting very low even in night sometimes i tried to have sex with my wife but my penies doesnt get errected i am nt sure its something related to medical as in a day i sometimes get good erection when i think abt sex bt unfortunately when i was with my wife in night it doent work ,only having once or twice in a month sucessfully even we were planning to have a child also in this manner how will we have a child i am 34 years old one more thing like to add sometimes me and my wife were having sex and in between short only my penies looses errection and ends upto incomplete sex and sometimes we have sucessfull sex also



Please advice me as i am really tense due to above
Fri, 12 May 2017
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Psychiatrist 's  Response
Hi Sir,
Welcome to Health Care Magic

I can certainly understand your concern and worry about your sexual performance, as I can assure you that your penile erections are normal which is mentioned by you.it is likely that you are having some apprehension towards sex or may be you are little busy with your schedule that affecting your sexual life. First of all , avoid your stress and worry about sex and children.Being a psychiatrist , I can advise you some simple tips like....Be relaxed before sex, spend time with foreplay which stimulates the production of nitric oxide NO, to sustain your erection for long time ....And you can start some antianxiety drugs like SSRI s ie escitalopram which helps in reducing your anxiety and worry, avoid alcohol and smoking if any, maintain adequate weight, try to engage yourself in some physical activity like exercises which helps in production of BDNF ie brain derived neurotropic factor, that keeps you active and stress free through out the day. Finally you have to maintain good rapport with your wife, discuss freely about your mutual sexual fantasies, spend some time with her. If these measures does not work, you can start sildenafil to improve your erections, but I don't think it's necessary in your case, as your erection is normal in the other times. You can also check yourself by NPT test is nocturnal penile tumescence, in which erections occurs in early morning in the sleep which can rule out any problem with your erection. You can.also consult your psychiatrist for further follow up



Post your further questions if any, I will available to take up your follow up questions

Thank you
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Suggest Remedy For Erectile Dysfunction

Hi Sir, Welcome to Health Care Magic I can certainly understand your concern and worry about your sexual performance, as I can assure you that your penile erections are normal which is mentioned by you.it is likely that you are having some apprehension towards sex or may be you are little busy with your schedule that affecting your sexual life. First of all , avoid your stress and worry about sex and children.Being a psychiatrist , I can advise you some simple tips like....Be relaxed before sex, spend time with foreplay which stimulates the production of nitric oxide NO, to sustain your erection for long time ....And you can start some antianxiety drugs like SSRI s ie escitalopram which helps in reducing your anxiety and worry, avoid alcohol and smoking if any, maintain adequate weight, try to engage yourself in some physical activity like exercises which helps in production of BDNF ie brain derived neurotropic factor, that keeps you active and stress free through out the day. Finally you have to maintain good rapport with your wife, discuss freely about your mutual sexual fantasies, spend some time with her. If these measures does not work, you can start sildenafil to improve your erections, but I don t think it s necessary in your case, as your erection is normal in the other times. You can also check yourself by NPT test is nocturnal penile tumescence, in which erections occurs in early morning in the sleep which can rule out any problem with your erection. You can.also consult your psychiatrist for further follow up Post your further questions if any, I will available to take up your follow up questions Thank you