My erection does not last during sex – what can I do to fix it?

Question

Hello doctor,

I am a healthy 25-year-old male. I had sex two times, and I was able to maintain an erection for the initial time. After a few minutes, I was unable to maintain an erection and could not reach orgasm for both times of intercourse. But while masturbating, there are no issues with maintaining an erection and being able to maintain a strong erection while watching porn. There are no issues with orgasm while masturbating.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

According to your complaints, you may be suffering from erectile dysfunction (ED). Reasons for erectile dysfunction include:

Stress due to work, family-related issues, or night duties: Plan for regular exercise and yoga.
Depression.
Varicocele: An ultrasound of the scrotum can help diagnose it.
Fear of failure: Having one episode of ED may make you feel that you will end up with ED.
Low self-esteem due to chronic masturbation.
Homosexuality: Not attracted to the same sex.
Religious constraints.
Smoking and alcohol.
Long-term illness: Cardiac disease, thyroid disease, kidney disease, or any other disease requiring long-term medication.
Simple vitamin deficiency: Use a tablet of Zincovit (zinc, vitamin C, vitamin B6, vitamin E, and other essential vitamins and minerals) and Shelcal (calcium, vitamin D3, and magnesium).
Negative attitude towards your partner.
Hormonal issues: Thyroid issues, low testosterone, increased prolactin.
Long-term drug usage.
Diabetes and hypertension.

Tests and checks needed to diagnose the issue are as follows:

Doppler penis ultrasound.
Ultrasonography of pelvis and scrotum.
Blood pressure measurement.
RBS (random blood sugar).
Free T3 and T4 (triiodothyronine and thyroxine).
Testosterone levels.
TSH (thyroid stimulating hormone).

Share more details regarding the above reasons, and we can work on diagnosis and treatment. Meanwhile, I suggest you follow the below-mentioned lifestyle suggestions. You need to plan for regular exercise and a proper diet.

List of exercises:

Basic exercises like Kegels, squats, yoga, running, or fast walking for five minutes.
Missionary sex position: Planks, push-ups, mountain climbers, glute bridges.
Standing sex position: Bicep curls, pull-ups, jump squats.
Doggy style: Jump squats, walking lunges.
Cowgirl or the girl-on-top move: Glute bridges, leg raises.

Food suggestions:

Strawberry.
Apple.
Avocado.
Sweet potato.
Sesame seeds.
Almonds.
Garlic.
A little chocolate.

For a temporary solution, I suggest you use a tablet of Mildfil (Tadalafil) 5 mg twice a day. I suggest you consult a specialist, talk with them, and take the medications with their consent.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern.

That is good. I suggest you continue going to the gym and make sure to follow a balanced diet. Sex after night duty or stress can decrease blood flow to the penis. Once you experience an erection issue, it can cause mental stress, leading to recurrent episodes.

Masturbation will not cause erection issues unless it involves compulsive or excessive masturbation. Occasional masturbation will not affect you. No need to worry as you are only 25 years old and you can easily get over it.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.