HomeAnswersSexologyerectile dysfunctionI am a recently married healthy male. My penis loses its erection while insertion. Please help.

What can be done to maintain an erection for a longer period?

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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.

Medically reviewed by

iCliniq medical review team

Published At July 27, 2023
Reviewed AtSeptember 22, 2023

Patient's Query

Hi doctor,

I am facing a problem while having sex. I am healthy and recently married. My penis is erect and everything is normal during foreplay. But it loses erection when I want to insert it. Please suggest treatment for resolving this problem.

Thank you.

Answered by Dr. Raveendran S R

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

According to your symptoms, you might be suffering from Erectile dysfunction (ED). Reasons for erectile dysfunction include the following.

  1. Work or family-related stress.

  2. Night duty.

  3. Depression.

  4. Varicocele.

  5. Fear of failure - Having one episode of ED may make you feel you will end up with ED.

  6. Low self-esteem (chronic masturbation).

  7. Homosexuality.

  8. Religious constraints.

  9. Smoking and alcohol.

  10. Long-term illnesses like cardiac disease, thyroid disease, kidney disease, or any other disease with long-term medication.

  11. Simple vitamin deficiency

  12. Negative attitude towards your partner.

  13. Hormonal issues like thyroid issues, low testosterone, and increased prolactin

  14. Long-term drug usage.

  15. Diabetes and hypertension.

I would suggest you the following tests:

  1. Doppler penis.

  2. USG pelvis and scrotum.

  3. Blood pressure.

  4. RBS (random blood sugar).

  5. Free T3 (triiodothyronine) and T4 (thyroxine).

  6. Testosterone.

  7. TSH (thyroid stimulating hormone).

Kindly share more details regarding the above reasons, and we can work on diagnosis and treatment. You need to plan for regular exercise and a proper diet. I would suggest the following.

  1. List of exercises: Basic exercises like Kegels, squats, yoga, running, or fast walking for five minutes.

  2. Missionary exercises: Planks, push-ups, mountain climber, and glute ridges

  3. Standing exercises: Bicep curls, pull-ups, jump squats.

  4. Doggy style: Jump squats, walking lunges.

  5. Cowgirl or the girl on top: Glute bridges, leg raises.

  6. Food: Strawberry, apple, avocado, sweet potato, sesame seed, almond, garlic, and small amounts of chocolate.

  7. For a temporary solution, I would suggest you use the tablet Mildfil (Tadalafil) 5 mg twice a day. For vitamin deficiency, you can have tablets Zincovit (multivitamins) and Shelcal (Calcium and Vitamin D3).

Consult with your specialist doctor, talk to them, and then take the medications as prescribed by them.

I hope this has helped you.

Thank you.

Patient's Query

Thank you doctor for the reply,

I would like to seek your advice regarding my medical history and a recent concern I have been experiencing. During my childhood, between the ages of one to two years, I had a history of seizures. I was treated with medication at that time, but I do not recall the details as this occurred during my early years. Since then, I have not encountered any significant health issues. Almost one year ago, I had my blood pressure checked twice. The first time was during a corona vaccination appointment, where they measured it, and the second time was also on vaccination day. On both occasions, the nurse informed me that my blood pressure was slightly high and advised me to take care of it. I vaguely remember the readings.

Regarding my concern about erectile dysfunction (ED), I noticed it after my recent marriage. I have not engaged in excessive pornography and have only viewed it occasionally in the past. I visited a pharmacist to inquire about a medication you prescribed, and he told me that it is called Tadalafil 5mg, which you had recommended. However, the pharmacist informed me that it is not available, but other brands are available. I would appreciate your guidance on the availability of a suitable alternative brand name.

My questions regarding Tadalafil are as follows:

  1. Is it safe to take Tadalafil twice a day given my medical history, or would you suggest a different dosage or frequency?

  2. Should I take Tadalafil daily, or only when planning for sexual activity?

  3. How long before sexual activity should I take Tadalafil?

I kindly request your advice based on the provided explanation. Thank you for your time and expertise.

Answered by Dr. Raveendran S R

Hello,

Welcome back to icliniq.com.

I understand your concerns. Are you currently taking any medications? Yes, Tadalafil can be taken; it is the same medicine. You can start with Tadalafil once a night after food. If the desired effect is not attained, you can increase the dosage to twice a day after food. You can use it with your medical history; there are no issues. The 5mg medication should be taken on a daily basis. If you are using a 20mg dose, you can take it 60 minutes before sexual activity.

Thank you.

Regards.

Patient's Query

Thank you doctor for the reply,

I still have not started or taken any medicine. I want to clarify if Tadalafil 5mg once a day is okay for me after dinner. And if it does not work, then I will use 5mg twice a day. Also, I will use the 5mg tablet as you prescribed earlier, so how much time before intercourse should I take this pill?

Answered by Dr. Raveendran S R

Hello,

Welcome back to icliniq.com.

You are right. Kindly start with 5mg once a night. Take the medicine for 30 days, and you should see the effect within a week. After one month, you need to slowly reduce the medicine and stop it. Plan for regular exercise and a balanced diet for early recovery.

Thank you.

Regards.

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

Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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