Psychological Cause For Erectile Dysfunction

The sexual dysfunction in a man, where he is unable to keep an erection firm for sexual intercourse is called erectile dysfunction. 10 to 20 % of ED is caused due to psychological reasons. These causes include stress, anxiety, the guilt of not satisfying the partner, low self-esteem, depression, and loss of interest in sex.

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What can cause ejaculation without an erection before sex?

Query: I never faced an erection problem, it's normal and stiff. But a month ago I went to a Sex Worker, I was tensed, as it was my first time. While inside 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 checke...  Read Full »

Dr. J N Naidu

Family Physician, General Practitioner

Answer: Hi, I want 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,anxiety.You may be fearing that what you are doing is wrong.You are anxious about your erection. Erection can occur only wh...  Read Full »

I am unable to ejaculate inside my partner as I am losing erection too fast. What to do?

Query: Hi doctor, I am suffering an erection problem for the last three years. I am married for the last 1 year but I never did satisfaction and natural sex with my wife. My problem is I used to do a lot of masturbation heavy masturbation with oil so it is erect for a while and again loose. One more thi...  Read Full »

Dr. Purushottam Sah

Obstetrician And Gynaecologist, Sexologist, Andrologist, Infertility Specialist

Answer: Hello, Welcome to Anejaculation is a condition where a man cannot discharge semen. It can be absolute when he cannot discharge in any situation and situational when he cannot discharge in certain situations but can discharge in other conditions. If he can ejaculate with masturbation b...  Read Full »

Is it safe to take Viagra is you have an aneurysm?

Query: Hi doctor, I am a 54 year old male with complex medical histories, including a current splenic artery aneurysm, an occluded right vertebral artery, historical major spinal cord trauma from intradural schwannomas (removed twice) and multiple liver hemangiomas. I have had occasional erectile dysfunct...  Read Full »

Dr. Nidhi Jain Bukharia

General Practitioner, Psychiatrist, Psychologist Counsellor, Sexologist

Answer: Hi, Welcome to According to me, it is better to avoid Viagra as it is a vasodilator. But, the final decision should take after consulting your cardiologist. First, rule out the psychogenic causes of erectile dysfunction. Because, there is no need to take Viagra (Sildenafil), if it is ...  Read Full »

Why is my blood pressure high, and I am not able to sustain an erection?

Query: Hi doctor, My penis gets soft very quickly and I cannot sustain erection for a long time. Moreover, after one session, it is very difficult to cope up with the next session. Sometimes, when I use a condom it is very difficult for me to enjoy my sex. Please help.  Read Full »

Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to Before we can make any conclusions, I request you to provide the following details, so an impression can be made about the cause of the problem. How long you are facing this problem of erection? How the problem started, whether it was sudden in onset or build up slowly ov...  Read Full »

Please help me interpret my semen report.

Query: Hi doctor, I have been married for two years now. We have been trying for baby since last one year, but not getting any positive result. We used to intercourse as per ovulation calculator, but my problem is that I can ejaculate only when she is on top. But, I failed to ejaculate in another position...  Read Full »

Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to I read your query with keen interest and reviewed the attached reports (attachment removed to protect patient identity). From the available description, it appears that there is no gross abnormality from the semen analysis point of view and you have sufficient sperms to i...  Read Full »

Why is my erection weak even after taking Tadalafil?

Query: I am 32 years old healthy male without any relevant medical history. I am married since 2 years and do not have kids. Till 3 months ago I used to have weekly sex with my wife but now since last 5 months I have been staying without her in some city so meet her only once a month. I also masturbate on...  Read Full »

Dr. Abdul Rub

Family Physician, General Practitioner

Answer: Erectile performance and ejaculation can be influenced by many factors, if you are anxious, sad or stressed this can get lower performance, if you are relaxed and happy you will have better performance because it is affected by neurotransmitters, which is influenced by mood, stress level, etc. the m...  Read Full »

How is the cause of erectile dysfunction diagnosed?

Query: Hi doctor, I am a 46 year old male. My weight is 75 kg and height is 6 feet. I do not have diabetes and BP. I have asthma which is under control. I am facing problems in getting erections. It is getting worse with time. I tried some treatments for depression and practiced relaxation techniques with...  Read Full »

Dr. Duraisamy Palanisamy

Andrologist, Diabetologist, Sexologist

Answer: Hi, Welcome to I understand your problem. You cannot find any immediate result for your problem. Because, erectile dysfunction is a chronic problem. It may be due to age or hormonal change, psychologic, etc. We have to rule out common problems first. If everything is there then we ha...  Read Full »

Kindly suggest a solution for erectile dysfunction and premature ejaculation.

Query: Hi doctor, I am a 29 year old male. My height is 5'11" and weight is 90 kg. I am going to be married next year. My problem is that I am suffering from erectile dysfunction and premature ejaculation. In my case the erections are there, but the ejaculation is even quick. The erections are not full. Wh...  Read Full »

Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hi, Welcome to Erectile dysfunction and premature ejaculation can cause significant distress to a person. If your erectile dysfunction is persistent then I would advise you to get your serum testosterone and serum prolactin done to rule out any hormonal cause. If that comes back normal ...  Read Full »

Why am I not getting proper erection during sex?

Query: Hello doctor, I am 29 years old . I am married from the last 1.5 years. My problem is that from the last two weeks I am am not getting proper erection during sex. Erection comes a bit and goes out instantly. It is just happeing from the last two weeks before that I was totally fine. I am taking som...  Read Full »

Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hi, Welcome to I can understand your concern. As you are getting erections when you watch porn but are losing during sex this shows that problem is not organic. The issues are more psychological. Confido helps to boost confidence but is not proper treatment. For some times you can try...  Read Full »

I am not able to penetrate vagina due to erection problems. Please help.

Query: Hello doctor, I am married, 41 years old. I have 2 kids. For the last six months I am having erection problems. I cannot even penetrate. Due to this I fear of nights. I cannot face my partner. Kindly give a solution to my problem.  Read Full »

Dr. Arul Amuthan

Ayurveda Specialist, Naturopathy Specialist, Pharmacologist, Siddha Medicine Specialist, Toxicologist

Answer: Hi, Welcome to I am not sure whether you have diabetes or hypertension or any other diseases. Whether you are taking drugs (allopathy or herbal) for any other diseases. If so, we need to look the side effects of those drugs. Diabetes patients gets diabetic neuropathy, thus there migh...  Read Full »

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