Why am I unable to achieve erection?

Q. I am unable to achieve erection but getting precum. Kindly help.

Answered by
Dr. Sugreev Singh
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 30, 2021 and last reviewed on: Sep 16, 2023

Hi doctor,

I am facing a hard time with my erection. Even after watching porn or having erotic thoughts, I do not get an erection, but instead, there is a huge release of precum with these thoughts. I usually have a habit of masturbation by lying upside down and pressing my penis against the bed. While masturbating in this position, I have noticed that I used to ejaculate even without an erection. And my ejaculation times are only 10-15 seconds. Today I masturbated with my hand, and I have a swelling on my shaft. Please help me. I am single, and I just had intercourse only once that too was not very good. I am also a hyperthyroidism patient.



Welcome to icliniq.com.

Premature ejaculation is associated with stress and thinking of sex all the time. So what you have to do is use the control method. It means when you watch porn, do not think about ejaculation. When you feel like you are about to erect, then stop watching and then continue. So it will help to increase blood flow in the pelvic region, and you will have good control. Apart from that, regular physical exercise will help to increase strength and deal with premature ejaculation.

Please do kegel exercise for pelvic. You can watch a video on how to do it. Then do it for a month, and automatically you will see a difference. If it continues, then we can start the medicine. In your reports, TSH is increased, which is suggestive of hypothyroidism. It needs to be controlled by medicines. And liver enzymes are also elevated but not significantly. So do not worry.

Are you taking any medications for thyroid? Is it the first time you checked your thyroid levels? What is your blood pressure? Are you taking any other medications?

Thank you doctor,

I am taking Thyronorm 75 mcg for the past one and half years. And I am getting no erection at all even when I experienced morning woods. Can you prescribe me some erection medicine? I am very much scared. Please help me.



Welcome back to icliniq.com.

Firstly, I would recommend you to go naturally. At least for a week, if it continues, then we can go for medication. Because medications can lead to hypertension, and you have hypothyroidism already.

According to your medical situation, I suggest you do Kegel exercises and take a healthy diet, high-protein diets such as eggs, juices, and vegetables. After one week, if you still face the same then let me know.

Thank you doctor,

I used to masturbate by lying upside down and running my penis against the bed. Today, I tried masturbating by hand. And it has caused swelling in my shaft. Does that mean by rubbing my penis against the bed cause fracture of my penis? Also, to be frank, I have kept two years count of my masturbation, which is 153 times. Sometimes I used to masturbate 10-12 days in a row and rub my penis against the bed every time. Should I stop this? Is this count too much?



Welcome back to icliniq.com.

Actually, the fracture cannot be there because the penis does not have a bone. But as you mentioned, you have swelling, so definitely due to rubbing against hard surface caused it so I would suggest you to not to rub penis against the bed. And if you wish to continue masturbation, then gently do it with your hands.

And please apply ointment Beclomethasone, Clotrimazole two times a day for five days on the swelling part. The swelling will reduce in a few days. Keep general hygiene such as cleaning with fresh water and use fresh towels.

If it is possible, attach a picture of the swelling part. Do you have swelling or itching in the penis? You can masturbate four to five times a week. It is normal. So please do not worry.

Thank you doctor,

Swelling has somewhat reduced now, and there was no pain either. The main problem is I am concerned with is premature ejaculation with no erection and a lot of precum discharge.



Welcome back to icliniq.com.

Thank you for attaching the pictures (attachment removed to protect patient identity).

For swelling, apply the cream I prescribed. And for premature ejaculation, try one month with exercises and diet. Then we will further go for treatment and testing if required.

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