Why am I unable to feel pleasure despite trying hard to maintain an erection?

Hi,

Thank you for stopping by!

I am here to provide expert opinion on your medical issues.

According to your complaints, you may be suffering from erectile dysfunction. The reason for erectile dysfunction (ED) are as follows:

1. Stress due to work or family-related, night duties – plan for regular exercise and yoga.
2. Depression.
3. Varicocele – ultrasound scrotum can help diagnose.
4. Fear of failure - having one episode of ED once may make you feel you will end up with ED.
5. Low self-esteem - due to chronic masturbation.
6. Homosexuality – not attracted to same sex.
7. Religious constraints.
8. Smoking and alcohol.
9. Long-term illness – cardiac disease, thyroid disease, kidney disease, or any other disease with long-term medication.
10. Simple vitamin deficiency – You can use tablet Zincovit (vitamin A 5000 IU, vitamin D3 400 IU, vitamin E 15 mg) and Shelcal (calcium and vitamin D3).
11. Negative attitude towards your partner.
12. Hormonal issue – thyroid issue, low testosterone, and increased prolactin.
13. Long-term drug usage.
14. Diabetes and hypertension.

Need to check doppler penis, USG (ultrasound) pelvis, and scrotum, blood pressure, RBS (random blood sugar), free T3, T4, testosterone, TSH (thyroid stimulating hormone). Share more details regarding the above reasons, we can work on diagnosis and treatment.

1. 1. You need to plan for regular exercise and a proper diet.
   2. List of exercises: Basic exercises like kegels, squats, yoga, running, or fast walking for five minutes.
   3. Missionary sex possession: Planks, push-ups, mountain climber, glute bridges.
   4. Standing sex position: Bicep curls, pull-ups, jump squats.
   5. Doggy style: Jump squats, walking lunge.
   6. Cowgirl or the girl on top move: Glute bridges, leg raises.
   7. Food: Strawberry, apple, avocado, sweet potato, sesame seed, almond, garlic, and little chocolate.
   8. For a temporary solution – You can use Tablet Mildfil (Tadalafil) 5 mg twice a day.