Q. Why am I not able to keep my erection during intercourse?

Answered by
Dr. Raveendran S. R
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 21, 2021 and last reviewed on: Dec 23, 2022

Hello doctor,

I am 32 years old, and I started masturbation at the age of 15 years and became addicted to it. Around the age of 20, I was sexually active and happy with my performance though I could not keep myself away from masturbation. At 27 years of age, I started feeling a loss of energy during sex. At 30 years of age, while having intercourse, I could not keep my erection, breaking my confidence. Then I researched online and started eating Ashvagandha, Sheelajit ayurvedic supplements. It helped a little, but I still do not have the confidence to become sexually active. I even stopped masturbating two years back. Now I feel like my ejaculation quantity is low, and my ejaculation is not intense.

Once I ejaculate, I need atleast three to four days gap for the next episode. I have always had a desire for sex but get anxious about it. I even stopped all the bad habits.

Kindly suggest me a treatment.



Welcome to

I can understand your concern. Masturbation is normal. Ninety-five percent of men do that. It is just another way of having sex without a partner. It is a good practice, helps to calm your mind, and releases happy and stress-busting enzymes. It will not harm your penis. Masturbating two to three times a week is not an issue, more than that can cause tiredness, loss of concentration, sense of infertility.

There are some ways to reduce masturbation that includes:

  1. Physical exercises.
  2. Sleep adjustment.
  3. Quality of sleep.
  4. Healthy and balanced diet.
  5. Programming for leisure time.
  6. Development of spirituality.
  7. Take a cold bath.
  8. Sex education.

For tiredness or decrease in strength, I would suggest Astymin forte (amino acids and vitamins) capsule in the morning and tablet Shelcal (Calcium with vitamin D3) once at night after food for thirty days. The reasons for erectile dysfunction (ED) includes:

1) Stress due to work or family-related and night duties. You can plan for regular exercise and yoga.

2) Depression.

3) Varicocele.

3) Fear of failure - IEven one episode of ED may make you feel you will end up with ED.

4) Homosexuality.

5) Religious constraints.

6) Smoking and alcohol.

7) Long-term illness such as cardiac disease, thyroid disease, kidney disease, any other disease with long-term medication.

8) Negative attitude towards your partner.

9) Hormonal issues such as thyroid issues and low testosterone.

10) Long-term drug usage.

11) Diabetes and hypertension.

You need to check the doppler penis, USG (ultrasonography) pelvis and scrotum, blood pressure, RBS (random blood sugar), Free T3 (triiodothyronine), and T4 (thyroxine), testosterone, TSH (thyroxine) levels. Kindly share more details regarding the above reasons, we can work on diagnosis and treatment. It would help if you planned for regular exercise and a proper diet.

List of exercises will include kegel, glute bridge, reclined butterfly pose, lying leg raised, plank, push up, squat, hip flexor lunge, swimming, running or fast walk for five minutes, and yoga. You can also include strawberry, apple, avocado, sweet potato, sesame seed, almond, garlic, and chocolates in your diet. For a temporary solution, I would suggest taking the tablet Mildfil (Tadalafil) 5 mg twice a day. Consult a specialist, talk with them and take the medicines with their consent.

I hope this has helped you.

Hi doctor,

Thank you for your suggestions.

I am planning to have a baby, and I am very nervous about it. I need to diagnose my problem and want to make sure that I do not have any issues. Do I need to do doppler penis, USG pelvis, and scrotum and check blood pressure, RBS, Free T3, T4, testosterone, TSH levels? Or can you suggest to me any tests, to begin with?

Please help.



Welcome back to

You need not worry about it. As of now, I would suggest the following:

1) Tablet Mildfil 5 mg twice a day after food for thirty days.

2) Tablet Carni-Q (Levo-carnitine, Coenzyme, Zinc, Lycopene, and Astaxanthin) once in the morning after food for thirty days.

3) Tablet Nano-Leo (ayurvedic) sachet once at night after food for thirty days.

You can wait for ten days, and if the issue persists, you will need to do the investigations suggested.

Hi doctor,

Thanks for your reply. It was really helpful.



Welcome back to

I am happy to help you. You can revert in case of any future questions.

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