HomeAnswersSexologyerectile dysfunctionI have erection rarely, and so I am unable to involve in intercourse. What to do?

I rarely get erection and cannot involve in intercourse. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ashok Kumar

Medically reviewed by

iCliniq medical review team

Published At February 22, 2017
Reviewed AtMay 3, 2021

Patient's Query

Hi doctor,

I am 43 years old. I am known type 1 diabetic. I do masturbation regularly. In the last two years, I observed that I do not get an erection at all. Even if I get after a lot of effort, I cannot involve in intercourse. What to do?

Answered by Dr. Ashok Kumar

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

  • There is some conflicting information, which I need to make it clear. You said you masturbate regularly and no erection for last two years. Do you mean that you have an erection for masturbation, but not for intercourse?
  • Also, I like to know about early morning erections. Do you get them? If yes, then what is the frequency and intensity of them?
  • It is also important to furnish substance abuse information. Provide details of any substance use.
  • Please also provide more details about your diabetes like duration, current HbA1c and blood glucose level along with treatment.

Revert with more details to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Patient's Query

Hi doctor,

I do not get an erection in the morning. I get erection rarely, and still, I have the habit of masturbating. My current HbA1c is 6.1. I take Azulix 1 Mf one tablet and Insulin Lantus 20 units in the morning and Janumet 50/500 one tablet in the morning and one at night.

Answered by Dr. Ashok Kumar

Hi,

Welcome back to icliniq.com.

  • In case, the diabetes is going on for decades; then the erectile dysfunction can be due to the effect of diabetes on blood vessels and nerves supplying your penis.
  • If you have a short duration of diabetes, then we need to search for additional causes such as cholesterol, blood pressure, smoking, stress and alcohol among others.
  • I request you to undergo the following tests for further assessment. Complete blood count, blood sugar (fasting), renal profile, liver function tests, lipid profile, T3, T4 and TSH (thyroid-stimulating hormone), serum testosterone, serum prolactin and penile doppler study.

Revert with the reports to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashok Kumar
Dr. Ashok Kumar

Geriatrics

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