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

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Published At December 22, 2021
Reviewed AtDecember 23, 2022

Patient's Query

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.

Answered by Dr. Raveendran S R

Hello,

Welcome to icliniq.com.

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.

Patient's Query

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.

Answered by Dr. Raveendran S R

Hello,

Welcome back to icliniq.com.

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

1) Take the tablet Mildfil 5 mg twice a day after food for thirty days.

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

3) Take the tablet Nano-Leo (Ayurvedic medicine) 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.

I hope this has helped you.

Patient's Query

Hi doctor,

Thanks for your reply. It was really helpful.

Answered by Dr. Raveendran S R

Hello,

Welcome back to icliniq.com.

I am happy to help you.

Kindly revert if you have further questions.

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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