How to overcome sexual problems in a 43-year-old male?

Question

Hello doctor,

I am about 43 years old, and I am planning to have kids, but unable to hold an erection. I do get an erection but by the time I go for penetration, if there is any slight distraction, it goes down and I am unable to get it again. I have also noticed that my mood does not last for long, maybe due to stress. While performing, I get very exhausted, my chest feels heavy, and I get tired instantly. I have had asthma since childhood, but then in my 20s, I was able to have an erection and perform the act well. But from the age of 32 and later, I am not able to hold my mood and erection. Also, I do feel like having sex, and the urge is there, but when it comes to performance, it is just not happening. Sometimes when I see porn, I have a very good erection that lasts long. Sex is causing me to get exhausted very fast and resulting in softening of my penis within five minutes. Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern about your symptoms.

According to your complaints, you may be suffering from erectile dysfunction (ED). Reasons for erectile dysfunction include:

Stress, work, or family-related duties.
Depression.
Varicocele.
Fear of failure - Having one episode of ED once may make you feel you will end up with ED.
Low self-esteem (chronic masturbation).
Homosexuality.
Religious constraints.
Smoking and alcohol.
Long-term illness – Cardiac disease, thyroid disease, Kidney Disease, or any other disease with long-term medication.
Negative attitude towards your partner.
Hormonal issue – Thyroid issue, low testosterone.
Long-term drug usage.
Diabetes and hypertension.

I suggest you check the Doppler penis, USG (ultrasonography) pelvis and scrotum, blood pressure, RBS (random blood sugar), free T3, T4 testosterone, and TSH (thyroid stimulating hormone). Please share more details regarding the above reasons so we can work on diagnosis and treatment. You need to plan for regular exercise and a proper diet. Following is the list of exercises:

List of exercises such as:

1. Basic exercises: Kegels, squats, yoga, running, or fast walking for five minutes.

2. Missionary sex position: Planks, push-ups, mountain climbers, and glute bridges.

3. Standing sex position: Bicep curls, pull-ups, and jump squats.

4. Doggy style: jump squats, and walking lunge.

5. Cowgirl or the girl on top move: Glute bridges and leg raises.

I suggest you include foods such as strawberry, apple, avocado, sweet potato, sesame seed, almond, garlic, and a little chocolate in your diet. For a temporary solution, you can use tablet Tadalafil 5 mg twice a day.

Consult your specialist doctor, discuss, and take the medicines with their consent.

I hope this helps you.

Revert in case of queries.

Regards.