How can I improve my erection?

Hi,

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The cause of poor erection is due to poor blood to penile vasculature. The main cause is that a young person like you is psychological in nature like anxiety or tension due to poor communication between the partner or due to depression, fatigue, stress. The medical conditions such as thyroid dysfunction or diabetes, hypertension, etc., can also cause this. So first get these things checked that you have these medical illnesses or not. If you have any medical illness, then get them treated.

Take a healthy diet and include fruit. Anything that is bad for the heart is also bad for the penis. Maintain a healthy weight. Do regular exercise. Avoid any substance use. Stop alcohol or tobacco, you can use the Mediterranean diet. If using any medicine, then check it with your doctor. Manage your stress effectively. Take adequate sleep, six to eight hours of sleep daily and maintain good sleep hygiene. Probably these things will help you.

Erectile dysfunction is an issue of concern but first, try these things and get yourself evaluated and meanwhile try the above-mentioned tips. If these things do not help you then consult with your Psychiatrist in person for further evaluation.

Hi,

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Good food means taking plant-based food as much as possible, using olive oil instead of butter. Avoid or minimize the salt, fat, butter. If it is not a regular issue than these changes in food and exercise will definitely help you. Also, sometimes because of workload or stress or fatigue it can happen. So, you can try the sexual activity in the morning so that fatigue part will be minimal. Sometimes pelvic floor muscles exercise can do some relief. You can watch video on pelvic floor muscles exercise and can use it.

Hi,

Welcome back to icliniq.com.

Erectile dysfunction is an issue of concern as it may be due to underlying medical illness or psychological in origin but it can affect your relationship. If it is due to underlying medical illness then managing that will help you to recover from this. If it is due to stress or fatigue or psychological issues then manage accordingly. Talk with your partner regarding this. Spend enough time during foreplay. Do not think much about erection problems and just enjoy the foreplay and then do the sexual activity.

Follow the tips mentioned earlier. If the problem still persists then visit your family physician or psychiatrist for further evaluation to find the exact cause and management. Drugs like Sildenafil or Tadalafil are used to treat erectile dysfunction.

Hi,

Welcome back to icliniq.com.

Erection during sleep is a good sign and it indicates that blood supply to the penis is good. It also indicates that your erection problem is most probably psychological in nature. Be assured, it is not a big issue as you are having sleep erection. Just relax.

You can wait and watch for a few days, and probably your issue will resolve. There is no need for medicine at this point of time. Try to figure out any stress or psychological issues and correct them. Once that is correct, your erection will be normal. If possible, correct your sleep cycle and take good sleep, maintain good sleep hygiene. Do some exercise or go for morning walk atleast 40 minutes daily. Avoid alcohol, tobacco. If this does not resolve in next one or two weeks, then see your family doctor or Psychiatrist.

Hi,

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I get to know now that what is stress, it is your engagement probably. Do not worry. It is quite normal to have psychological erection problems during such time. Do not worry at all, it will be alright. Just do not focus on erection. Talk to your fiance as you talk normally. Just enjoy the new relationship and do not worry about your erection problem as of now, it is probably due to anxiety and will be normal in a few weeks.

Yes, some medicine like Ginseng, Ginko are somewhat helpful. You can use Ginseng for this. But I do not think that you require medicine at this point of time. You can still use Ginseng. What is more important that you should enjoy your new relationship and just forget about sexual activity that you will be able to perform or will satisfy your partner. Spend good time or talk with your fiancee that will boost your confidence and you will be happy after talking with her.

As you mentioned earlier that you had night time (semi) erection, that is good, as this indicates that the blood supply to your penis is alright and nothing wrong with penis blood flow. So just relax. If you think more about this, the problem will be more as it is due to anxiety, so relax. Play some games, listen to some music or just go outdoors.

Hi,

Welcome back to icliniq.com.

As I mentioned earlier that such sudden onset of the problem is more like psychological in origin and night time semi-erection also support that your erection problem is more like psychological and not physical. Wait for your blood report and discuss this issue with your doctor and no need to hesitate.

As I said that drug treatment is usually not required in such situations. However, Ginseng like food supplements can be used. Drug like Sildenafil (Viagra) 50 mg or Tadalafil 10 mg 30 minutes before sexual activity can be used. This type of drug should not be used if you have heart illness or you are on Nitrates. Erection is not happening during day time because you have some anxiety and stress that prevents the brain to act like that but during the sleep it acts as normal. As such our state of mind control erection and now you are too anxious to have a proper erection.

The second issue, the small size of the penis does not matter because initial few centimeters of penis and vagina are sensitive to touch, rest of the part is not sensitive. So size does not matter in satisfying your partner. Once your blood reports are with you, just ask these questions again to your doctor and he will clarify again. Just relax.

Hi,

Welcome back to icliniq.com

The spasm of neck muscles will not cause this problem.

Your doctor asks you about hormones and some blood tests so that he can be very sure that your erection problem is not due to any hormone issue. Once your blood report is ready and (if it is normal), your doctor will explain to you that there is no issue with hormones and that your erection issue is psychological in nature. If something comes abnormal on the blood report, then he will act accordingly to correct it.

If you touch your genitalia and get aroused, it is normal and physiology. If you have any further doubts, please wait for your blood report first; let me know your report then we can discuss it further. You seem to be very anxious at this point in time, so just relax and listen to music you like or do some breathing exercises to relax.

Thanks and regards.

Hi

Welcome back to icliniq.com.

I was expecting that you would turn to me after your blood report. Nevertheless, you need not worry much about this. If you think more about this, it apparently worsens. So just relax, everything will be alright.

As I mentioned earlier, at your age, it is most probably due to psychopathological nature; once the report is with you, we can be sure. As of now, just relax and spend your time on your favorite things so that you can divert your attention.

Thanks and regards.

Hi,

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Masturbation does not cause any sexual problems. It does not cause erection problems.

Actually, there are no criteria to define excessive masturbation, and it is an individual choice; few people masturbate once I a week, and few even daily. Excessive masturbation is when someone masturbates to run away from reality. It is good as it relieves some stress. However, few people may experience fatigue or ejaculation problems at times because of excessive masturbation. So it has nothing to do with your concern. You just relax and spend time on your hobbies so that you do not get anxious.

Hope it clears your concern.

Thanks and regards.

Hi,

Welcome back to icliniq.com.

The prolactin level is high, but still, it does not explain your erection problem.

Did you have your blood sample on an empty stomach? If not, then a repeat sample may be required.

At this level, the drug may not be very useful in lowering prolactin levels for managing your erection problem. Also, sometimes the thyroid may be associated with this, so get further evaluation like TSH (thyroid stimulating hormone) and blood sugar.

What your doctor told you, I still believe that your erection problem is most probably due to psychological. Get an opinion from endocrinology so that you can get an evaluation if required. So just make the necessary changes in lifestyle and food habits, and regular exercise and relaxation exercises will help you.

Thanks and regards.

Hi,

Welcome back to icliniq.com.

Tablet Dostinix will bring down your prolactin level. Your doctor asked about headaches and other symptoms to rule out any growth of the pituitary gland. Take this drug as prescribed by your doctor and continue your exercise and lifestyle modification as explained earlier. It will be alright. It will definitely help you, and you will be alright. Do not take too much tension.

Wishing you good life ahead.

Thanks and regards.

Hi,

Welcome back to icliniq.com.

As I mentioned earlier that situational erectile dysfunction is not caused by prolactin, it is more due to psychogenic in nature. Food items containing red clover, fennel, or fenugreek should be avoided. Take green vegetables, and avoid too much oily food. Too much heavy exercise should be avoided as it can increase stress hormones that can increase prolactin levels. So just do breathing exercises or a normal walk daily. Your medicine, along with lifestyle modification, will definitely help you, and you will be alright. Do not take too much tension. If you take too much tension, then it will increase your problem so relax. You will be alright in a few weeks, and it will not hamper your married life.

Wishing you good life ahead.

Thanks and regards.

Hi,

Welcome back to icliniq.com.

It is more probably due to sleep disturbance and sudden heavy exercises. So just relax and take adequate sleep, moderate your exercise, and do not think much about the erection. If you focus more on this, you will be more anxious, and your problem will deteriorate further.

So just relax and wait for a few days and everything will be alright as it was one week ago.

Thanks and regards.