How to overcome erection issues during sex?

Question

Hello doctor,

I am married, but I am unable to penetrate the vagina. I got a good erection, but when I tried to do intercourse, I lost that erection, causing penetration failure. Previously I used to masturbate my erection was good at that time. Also, recently my brain has been deviating somewhere else while trying to do sex. How can I control my brain and feel more pleasure? I hope it is the reason for losing an erection. If I am wrong, please help me understand why it is happening and what I can do to take care.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

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

Stress.
Depression.
Varicocele.
Fear of failure.
Low self-esteem.
Homosexuality.
Religious constraints.
Smoking and alcohol.
Long-term illness such as, cardiac disease, thyroid disease, kidney disease, or any other disease with long-term medication.
Vitamin deficiency.
Negative attitude towards your partner.
Hormonal issue.
Long-term drug usage.
Diabetes and hypertension.

I suggest getting Doppler penis, USG (ultrasound) pelvis, and scrotum, blood pressure, RBS (random blood sugar), Free T3 (triiodothyronine), T4 (thyroxine), testosterone, and TSH (thyroid stimulating hormone). Please share more details regarding the above reasons, and we can work on diagnosis and treatment. It will help if you plan for regular exercise and a proper diet. For a temporary solution, you can use the tablet Tadalafil 5 mg twice a day. Consult a specialist doctor and take medications with their consent.

I hope this information will help you.

Thanks.

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