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HomeAnswersUrologyerectile dysfunctionWhy does a hard erection occur while masturbating but not during sex?

Why do I have difficulty getting a hard erection during sex?

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

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Published At August 10, 2022
Reviewed AtJune 10, 2024

Patient's Query

Hello doctor,

I am a 51-year-old male. I have a problem that I can get a 5 to 7 inches hard erection without special viagra when I masturbate, but when I try to have sex and take the special viagra, I cannot get a hard erection. It only gets semi-hard at about 2 to 4 inches. Currently, I am on a Risperdal injection of 37.8 mg bi-weekly. I took Cialis and Levitra for five years, from age 40 to 45, and it worked very well.

Hello,

Welcome to icliniq.com.

I would refer you to do a serum testosterone level and change your medications. Hormone level is important as it is the main reason for you to have a proper sexual function, and if it is low, we can advise you to replace it before suggesting any other treatment. Cialis (Tadalafil) would work better and for a longer duration. I recommend you to take Cialis (Tadalafil) 5 mg daily, and the day you want to have sex, you can double the dose to 10 mg. Another option for erection should be vacuum and ring or Alprostadil (Prostaglandin E1) cream.

If you have any more queries, please let me know.

Kind regards.

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

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

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