Dr. Ramchandra Lamba
Psychiatry
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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Patient's Query
Hi doctor,
Presently I have lost interest in sex. This is because I have difficulty getting and maintaining an erection. Previously my libido and sexual desire were strong, but my erection was weak. My midnight erection and early morning erection is normal, and achieving and maintaining a daytime erection is very difficult. I can not penetrate. When I try to penetrate, I lose my erection. I have not done sexual intercourse yet. This is because I have lost interest in sex after marriage. I have no desire for sex, only desire for foreplay. I have a loss of libido and low sex drive. I love my wife, but I have no lust for her. I have no sexual attraction to her due to a lack of arousal, sexual stimulation, and sexual desire. My previous medications are Tentex Royal capsules, Popson tablets, Paternia XT tablets, ED save pills, Modula tablets, Tazzle 10 tablets, Tazzle 20 tablets, Canberra tablets, Penegra tablets, and Dejac-T tablets. Presently I am not taking any medications. I took testosterone, TSH, FSH, LH prolactin, and a penile doppler ultrasound. Please help.
Hi,
Welcome to icliniq.com.
I understand your concern.
All your investigations are normal except for a mild increase in prolactin. You have tried different drugs but are not on medication now. As you have a good nighttime erection, there is no organic cause of your problem, but it is psychological. It may be due to anxiety. It would be best if you follow the activities mentioned below.
1. You must spend more time in foreplay.
2. Avoid alcohol and tobacco products.
3. Go for regular exercise.
4. Spend time with your wife and try to masturbate with each other. If both are comfortable, then proceed further for vaginal intercourse.
Does your wife have any issues like pain when your try to have sex with her? Do you have any previous sexual experiences or sexual abuse? Any other information you would like to share with me? Let me know about these, and then we will discuss them further.
Thanks and regards.
Patient's Query
Hi doctor,
I have not done sexual intercourse in my life. I can not penetrate. We are over-familiar with each other, and I love her but have no sexual attraction towards my wife. My wife has problems with vaginal dryness. She does not lubricate even after an intense foreplay. She has no orgasm after 20 minutes of the finger.
Hi,
Welcome back to icliniq.com.
I understand your concern.
It would be best if you use a lubricant. When you finger her, ask her to stimulate your penis, and after she has some lubrication in her vagina, you try to penetrate. Sometimes using a condom help in maintaining the erection. It would be helpful to visit and get a consultation from your psychiatrist.
I hope you find it helpful.
Kind regards.
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Psychiatry
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