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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Erectile Dysfunction?

I m a 26 year old male virgin (by choice; religion) however I m anxious and concerned of my performance when I do get married (soon). I did receive oral sex multiple times in the past and most of the times I have been coming quickly. One several occasions even having a problem maintaining my erection. What do you suggest I do about this problem? Thank you, A concerned male
Tue, 24 May 2016
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General & Family Physician 's  Response
Hi,

Thanks for posting in HCM.

I understand your concern.

What problems you are describing is more of psychological than physical due to apprehension and anxiety. Most men have this problem that they think to have premature ejaculation and erectile dysfunction, especially before marriage, but certainly not.

You can overcome the problem by doing the following.
1. Kindly practice 'pause and squeeze' technique, which over a period of time helps you to sustain erection for a longer duration.
2. Take Tablet.Tadalafil 30 minutes before intercourse to get good erection.
3. You need to overcome apprehension or anxiety by doing meditation regularly to keep your mind calm.
4. Include in your diet - almonds, banana, pineapple, saffron, cardamom, figs, honey and pumpkin, which are known to increase the blood flow to the penis and help to initiate and sustain erection.
5. In case you have increased sensation of the penis, use of topical anaesthetic creams and sprays that contain a numbing agents, such as lidocaine or prilocaine will help.
6. To prevent ejaculation quickly, you can take medications namely Selective serotonin reuptake inhibitors (SSRIs) such as Sertraline.

Spend more time during foreplay. Once you regain your confidence, you should be able to gain good erection gradually and perform better. Later, you may decrease taking medications or take only when it is absolutely necessary.

Hope the information provided would be helpful.
All the best.
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What Causes Erectile Dysfunction?

Hi, Thanks for posting in HCM. I understand your concern. What problems you are describing is more of psychological than physical due to apprehension and anxiety. Most men have this problem that they think to have premature ejaculation and erectile dysfunction, especially before marriage, but certainly not. You can overcome the problem by doing the following. 1. Kindly practice pause and squeeze technique, which over a period of time helps you to sustain erection for a longer duration. 2. Take Tablet.Tadalafil 30 minutes before intercourse to get good erection. 3. You need to overcome apprehension or anxiety by doing meditation regularly to keep your mind calm. 4. Include in your diet - almonds, banana, pineapple, saffron, cardamom, figs, honey and pumpkin, which are known to increase the blood flow to the penis and help to initiate and sustain erection. 5. In case you have increased sensation of the penis, use of topical anaesthetic creams and sprays that contain a numbing agents, such as lidocaine or prilocaine will help. 6. To prevent ejaculation quickly, you can take medications namely Selective serotonin reuptake inhibitors (SSRIs) such as Sertraline. Spend more time during foreplay. Once you regain your confidence, you should be able to gain good erection gradually and perform better. Later, you may decrease taking medications or take only when it is absolutely necessary. Hope the information provided would be helpful. All the best.