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I am having occasional erection problem which lasts less than 10 minutes. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 31-year-old male. I am married for the last six years. Before getting married, there was an incident where I had a sexual encounter with a girl. However, during this, I had erectile dysfunction. So after about one year, I got married to my long term friend. In the initial three to four months I had issues of not being able to maintain an erection. However, over time we adjusted to a pattern and we got over it after about six months. We have been having frequent sex over the last four to five years. However, throughout this time, maintaining the erection for more than say 10 mins has always been impossible. Recently, I had a sexual encounter with another girl but had a lot of problems in getting the erection and maintaining it. I have a well-built physique and do regular exercise and play games. My weight is 89 kg and height is around 5' 10". I am a heavy nonvegetarian and eat lots of fish, chicken, and beef. After the above incident, I have started doing a bit of diet control along with my regular exercise.

I also have an inguinal hernia over the last few years and I am planning to get it operated soon. I have been thinking of buying Tentex royal but wanted to take advice from you before going ahead with any medication.

Answered by Dr. A Chakravarthy

Education:

MBBS

Professional Bio:

Dr. A Chakravarthy MBBS MD MHSc (Reproductive & Sexual Medicine) PhD (Sexual Medicine - USA) is a Senior Consultant in Reproductive and Sexual Medicine or Sexologist with 25 years of clinical experience. He completed his MBBS from Rajah Muthiah Medical College in 1999, MD from Government Medical College, Trivandrum, and MHSc in Reproductive and Sexual Medicine from Annamalai University.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

From your query, I could infer that you had difficulty in getting and maintaining an erection with the new girl only. You were able to have frequent and normal sex with your wife before the encounter with the above said girl. It means that the cause for erectile dysfunction at the incident was due to performance anxiety which is purely situational and psychological. Hence nothing to worry much about physical causes and be relaxed and enjoy your sexual life with your wife and masturbation (once in a while).

I will not recommend any such enhancers like Tentex royal, as it makes you feel that you lost your vigor and you have regain which is not real. What you lost is your confidence which you need to regain. Exercise, yoga, etc., can make you fit which in turn improves your sexual life.

Regarding follow up

If you are so much worried about physical causes, then you need to do 1. Routine blood and urine test. 2. Serum testosterone (fasting state). 3. FBS (fasting blood sugar) and PPBS (post prandial blood sugar). 4. TSH (thyroid-stimulating hormone). 5. Prolactin. These are basic tests for male dysfunction. Do mention about the frequency of masturbation, erection status during masturbation, early morning erections, etc.

Patient's Query

Thank you doctor,

I have attached the test reports as you had asked for. Kindly let me know what you think.

I masturbate weekly once and my erection status during masturbation is very good. I do get early morning erections and in 60% days it is good erection but some days there is no erection.

Answered by Dr. A Chakravarthy

Education:

MBBS

Professional Bio:

Dr. A Chakravarthy MBBS MD MHSc (Reproductive & Sexual Medicine) PhD (Sexual Medicine - USA) is a Senior Consultant in Reproductive and Sexual Medicine or Sexologist with 25 years of clinical experience. He completed his MBBS from Rajah Muthiah Medical College in 1999, MD from Government Medical College, Trivandrum, and MHSc in Reproductive and Sexual Medicine from Annamalai University.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

From the above findings, I could infer that you are suffering from psychological and situational erectile dysfunction. The most effective treatment to cure your problem is sex therapy, which include counseling and prescribing erotic exercises as a couple which they need to perform at their privacy.

I hope this helps.

Medically reviewed by Dr. Vinodhini J.
Published At February 19, 2020
Reviewed At February 19, 2020

Education:

MBBS

Professional Bio:

Dr. A Chakravarthy MBBS MD MHSc (Reproductive & Sexual Medicine) PhD (Sexual Medicine - USA) is a Senior Consultant in Reproductive and Sexual Medicine or Sexologist with 25 years of clinical experience. He completed his MBBS from Rajah Muthiah Medical College in 1999, MD from Government Medical College, Trivandrum, and MHSc in Reproductive and Sexual Medicine from Annamalai University.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. A Chakravarthy MBBS MD MHSc (Reproductive & Sexual Medicine) PhD (Sexual Medicine - USA) is a Senior Consultant in Reproductive and Sexual Medicine or Sexologist with 25 years of clinical experience. He completed his MBBS from Rajah Muthiah Medical College in 1999, MD from Government Medical College, Trivandrum, and MHSc in Reproductive and Sexual Medicine from Annamalai University.

This doctor is not available for online consultations on the platform anymore.

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