HomeAnswersSexologypremature ejaculationI do not get a hard erection and have pre-ejaculation. Why?

Can someone give me a proper diagnosis and treatment for my sexual problems?

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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

iCliniq medical review team

Published At July 15, 2022
Reviewed AtOctober 11, 2023

Patient's Query

Hello doctor,

I suppose I have a sexual ailment that I am unsure how to describe, but the following are my symptoms.

I am not getting a hard erection—fast ejaculation. My private regions have cracks, or it shows symptoms of aging.

I have no unhealthy habits, but I have high blood pressure and am stressed. I usually get 6 hours of sleep. I just began going to the gym and tried oral herbal treatment.

I am looking forward to the correct diagnosis and therapy.

Hello,

Welcome to icliniq.com.

I understand your concern.

I did not notice anything unusual in the photos you uploaded. This might be due to dryness, which a decent moisturizer can assist.

I am not sure what kinds of medications these are. If only you could specify more.

The report is simple, and your LFT (liver function tests) and CBC (complete blood counts) levels are normal. If you are not getting good erections, I recommend checking serum prolactin and testosterone levels. This shall rule out hormonal causes. I would want to obtain a few answers to several additional questions. Do you feel any tightness in your trousers while sleeping early morning?

Have you used any regular erection medications?

Have you had any additional tests?

Patient's Query

Hi doctor,

Thank you for the reply.

I recently started taking herbal medicine, which was the only medicine I took; I am not taking any other medication.

Yes, I get erectness in the morning, but sometimes it gets hard, and sometimes it does not, and it does not stay much longer. However, I cannot remain erect for more than a few minutes. Also, please specify the tests you want me to take.

Hello,

Welcome back to icliniq.com.

I understand your concern. If the medications are helpful, you may continue to take them. If you wake up stiff in the morning, try to stay calm. Then, we can rule out the majority of biological causes. If the erection is not prolonged and sustained, it might be related to anticipation and anxiety. This might also be related to hormonal factors. The tests recommended are serum prolactin and serum testosterone.

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

Dr. Seikhoo Bishnui
Dr. Seikhoo Bishnui

Psychiatry

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