HomeAnswersSexologyerectile dysfunctionI have nightfall and erection issues. Please help.

Why am I unable to maintain my erection and how can I overcome it?

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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.

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Published At June 29, 2023
Reviewed AtMarch 12, 2024

Patient's Query

Hello doctor,

I am facing loss in erection and I am also not able to masturbate. Because when I try to mastrubate my erection loosens and my testis is also small in size. I also have nightfall issue.

Hi,

Welcome to icliniq.com.

I understand your concern.

Have you taken any consultation from any doctor? Any investigations done?

Patient's Query

Hi doctor,

Thank you for the reply.

I have never taken any medicine. Nightfall happens approximately two times a month in summer and in winter two to three times a week. My personality is a little shy which is why I never consulted. At this age, I only masturbated two times 3-4 years back. The problem is that when I try to masturbate, erection loss happens. I always weak from a weight and height point of view.

Hi,

Welcome back to icliniq.com.

If you are getting night falls two to three times a month then that means you have libido and are getting erection when you are not distracted. But since you have mentioned that you are not getting proper erection even on stimulating and have small testis then I would suggest you to get some investigations done. One is serum testosterone levels. That would rule out any hormonal issue. Other is USG (ultrasound) scrotum which will help to find out volume of testis and will rule out any atrophied testis. Night falls two to three times a month is not a problem because you are not doing masturbation so night falls at such frequency can happen normally.

Patient's Query

Hi doctor,

Any short term medication except this laboratory test.

Hi,

Welcome to icliniq.com.

You can think of taking herbal medicines that increase libido like Tentex Forte (hibiscus abelmoschus ). The tablet works by improving libido and should be taken once to twice a day. This can increase the libido and shall improve the erection.

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

Dr. Seikhoo Bishnui
Dr. Seikhoo Bishnui

Psychiatry

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