Why can't my husband maintain an erection during sex?

Question

Hello doctor,

My husband is having difficulty maintaining an erection during sexual activity. His penis does not become fully erect, and the erection lasts only about five to seven seconds before going away.

As a result, we are unable to have satisfying sexual intercourse, and I am concerned about our sexual relationship.

Please help.

Thank you in advance.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Based on your description, your husband may be experiencing erectile dysfunction (ED), which is having trouble getting or keeping an erection firm enough for satisfactory sexual activity.

He may also have premature ejaculation (PE) if ejaculation occurs sooner than he or his partner would like. These are common problems and can occur for several reasons, including:

Stress, anxiety, relationship difficulties, or performance anxiety.
Diabetes (high blood sugar levels), high blood pressure, obesity, or heart disease.
Smoking, excessive alcohol use, or certain medications.
Low testosterone or other hormonal problems.
Poor sleep, depression, or ongoing stress.

Since his penis is not becoming sufficiently firm and the erection is lasting only a few seconds, he should undergo a proper medical evaluation.

I would suggest discussing the following tests with a doctor:

Fasting blood sugar and HbA1c (hemoglobin A1c, also called glycated hemoglobin).
Lipid profile.
Serum testosterone (preferably a morning sample).
Thyroid profile, including TSH (thyroid-stimulating hormone)
Blood pressure measurement and a general health check-up.

Treatment is based on the underlying cause and may include lifestyle changes, counseling or sex therapy for performance anxiety or relationship concerns, and medications prescribed by a doctor.

Please reassure him that these conditions are treatable, and many men experience significant improvement with proper evaluation and treatment.

He should consult a urologist (urinary and male health specialist), andrologist (men's sexual health specialist), or physician for further assessment.

He should seek medical attention sooner if he also experiences loss of sexual desire (libido), penile pain, penile curvature, or symptoms that may suggest diabetes or hormonal problems.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.