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Just before sex, I ejaculate without an erection. Why?

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

Patient's Query

Hi doctor,

I have never faced an erection problem. Usually, it is normal and stiff. But a month ago I went to a sex worker. I was tensed, as it was my first time. While I was with her, I was not at all getting an erection. She was stroking all over it, but it was not hard. And suddenly, I ejaculated. Even after that, I checked on my erections, and it was normal. But today, again, I was about to meet a sex worker. I was checking on my erection. The same problem happened again, and I ejaculated without an erection. Can you please tell me why is this happening just before sex?

Answered by Dr. J. N. Naidu

Education:

MBBS

Professional Bio:

Dr. J. N. Naidu is a highly experienced Family Physician and Diabetes Consultant dedicated to providing comprehensive care for patients with diabetes and related conditions. With a focus on preventive care, patient education, and long-term health management, he combines clinical expertise with a compassionate approach to improve patients’ overall well-being and quality of life.

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

Hi,

Welcome to icliniq.com.

I would like to warn you in the beginning that sex with a sex worker may contract sexually transmitted diseases if proper protective methods are not adopted.

Your problem is fear and anxiety. You may be fearing that what you are doing is wrong. You are anxious about your erection. Erection can occur only when the environment is proper and not when you are in fear and anxiety. There is no real problem with you.

If erection is occurring other times, it indicates that your issue is psychological. To rule out any disease, some investigations are suggested.

Regards.

Investigations to be done

1) ESR (erythrocyte sedimentation rate), Hb (hemoglobin) ,CBC (complete blood count). 2) Serum creatinine. 3) serum albumin, ALT (alanine aminotransferase), AST (aspartate aminotransferase). 4) Complete urine examination.

Differential diagnosis

Anxiety, Anemia.

Treatment plan

1) Tablet Albendazole 400 mg. 2) Tablet Zincovit one daily with food for seven days.

Regarding follow up

Review after five days.
Medically reviewed by Dr. Sneha Kannan
Published At July 14, 2020
Reviewed At January 18, 2024

Education:

MBBS

Professional Bio:

Dr. J. N. Naidu is a highly experienced Family Physician and Diabetes Consultant dedicated to providing comprehensive care for patients with diabetes and related conditions. With a focus on preventive care, patient education, and long-term health management, he combines clinical expertise with a compassionate approach to improve patients’ overall well-being and quality of life.

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

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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. J. N. Naidu is a highly experienced Family Physician and Diabetes Consultant dedicated to providing comprehensive care for patients with diabetes and related conditions. With a focus on preventive care, patient education, and long-term health management, he combines clinical expertise with a compassionate approach to improve patients’ overall well-being and quality of life.

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

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