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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erectile Dysfunction

I I just got married before couple of weeks. I haven't had sex before marraige. When I try to insert my pennis in my wife's vegina that time it gets loose so i am unable to insert my penish inside her.Kindly Tell me what is the problem and give me solution for that.
Mon, 27 Jun 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
I think your problem is due to sexual anxiety as you are newly married and did sex first time. Gradually this problem will disappear.
But if problem persists, you have to diagnose the cause of it.
Following are the causes: Psychological (depression and anxiety, relationship issue), Medical (obesity, hypertension, diabetes, smoking and alcohol consumption, prostate problem, back nerve and spinal problem, low testosterone. orchitis/epididmytis)
For diagnosis you have to consult the psychiatric or urologist. Doctor may give following advice:
Cognitive behavioral therapy for psychiatric problem, avoid stress while doing sex and spend more time in foreplay, talk to your partner about problem as it decrease anxiety and help in sex, use double condom, try women on top position, start pelvic exercise, walking and medication in the morning for 45-60 minutes regularly, take healthy diet and fresh fruits, antioxidant rich items (almonds and Co Q), avoid alcohol and smoking, avoid fatty food and food high in salt.
If problem persists, you can use tablet sildenafil plus paroxentine 30-40 minutes before sex after proper evaluation.
Testosterone injection for low testosterone and take treatment of above cause if detect.
Hope this may help you
Best regards
Dr. Sagar
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Psychiatrist Dr. Bajrang Lal Dhaka's  Response
Hi dear ,
It happens in newly married persons in initial period , and known as performance anxiety.you can try in morning when erection is hard and once you succeed for once or twice you will have confidence and you will be able to do it.for initial period i prescribe to some of my patients sildenafil .
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Suggest Treatment For Erectile Dysfunction

Hello dear Understand your concern I think your problem is due to sexual anxiety as you are newly married and did sex first time. Gradually this problem will disappear. But if problem persists, you have to diagnose the cause of it. Following are the causes: Psychological (depression and anxiety, relationship issue), Medical (obesity, hypertension, diabetes, smoking and alcohol consumption, prostate problem, back nerve and spinal problem, low testosterone. orchitis/epididmytis) For diagnosis you have to consult the psychiatric or urologist. Doctor may give following advice: Cognitive behavioral therapy for psychiatric problem, avoid stress while doing sex and spend more time in foreplay, talk to your partner about problem as it decrease anxiety and help in sex, use double condom, try women on top position, start pelvic exercise, walking and medication in the morning for 45-60 minutes regularly, take healthy diet and fresh fruits, antioxidant rich items (almonds and Co Q), avoid alcohol and smoking, avoid fatty food and food high in salt. If problem persists, you can use tablet sildenafil plus paroxentine 30-40 minutes before sex after proper evaluation. Testosterone injection for low testosterone and take treatment of above cause if detect. Hope this may help you Best regards Dr. Sagar