HomeAnswersSexologypsychological cause for erectile dysfunctionI get weak erections or a discharge within seconds. Why?

Is it normal to have erection for shorter period of time?

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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.

Answered by

Dr. Nidhi Jain

Medically reviewed by

iCliniq medical review team

Published At February 28, 2019
Reviewed AtDecember 14, 2022

Patient's Query

Hi doctor,

I am a 29-year-old male. Recently, I got married and tried having sex with my wife two days ago. It was my first time and I got discharged during foreplay only and could not achieve erection throughout that night. Even when I got an erection, I tried penetration but just lost erection during penetration. I did not feel aroused and the same symptoms are continuing for the last three days. Either I am unable to penetrate due to weak erections or get discharged within seconds. But, before the marriage, I used to masturbate once or twice a week and always got a very hard erection. I was feeling fatigue and weakness in the body for the last one week and even done bp, blood and urine test and all reports came normal apart from a minor infection which could be due to kidney stone as I have one. So, I request you to suggest me on this matter.

Answered by Dr. Nidhi Jain

Hi,

Welcome to icliniq.com.

For providing you the proper treatment I need to know the answers of following questions. What is your age? How long you had been in a physical relationship? Any sexual encounter with a commercial sex-worker? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Does the condition remain constant with other sexual partners, if any? Smoking or alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder?

Do you have any of these features:

Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in the appetite, headache, forgetfulness, excessive sweating, the shakiness of hands?

Patient's Query

Thank you doctor,

I am 29 years old, had been in a physical relationship for three days only. No sexual encounter with sex-worker. No history of diabetes and hypertension. Cannot say about the progress of the situation, as it is three days only but almost same things happened on all three days. I never had any other sexual partner. No smoking, alcohol or hyperlipidemia. I took Himalaya Speman for 45 days which was stopped 10 days ago. The penis is slightly bent on the left side. No history of trauma, surgery or neurological disorder.

No persistent low mood or loss of interest in work. I am having low energy for the last 10 days only. No lack of concentration. I am having less sleep for the last 45 days as me and my wife were talking over the phone throughout nights. Only slept for 4 to 5 hours on average. Only felt some guilt in these three days only as I was unable to perform well. I have increased my diet in the last 15 days, started taking juice in the morning and even getting good hunger. A headache, forgetfulness, excessive sweating, the shakiness of hands, feeling pain in elbow and knee joints and feeling very weak for the last 10 days.

Answered by Dr. Nidhi Jain

Hi,

Welcome back to icliniq.com.

See there is no problem, it is an art and it will improve with time. You are suffering from so-called performance anxiety. Never think of sex as a big deal or special occasion. Most men perceive sex as an occasion because they do not do it often or because they just like it so much. This causes you to get overexcited, which aids in the release of ejaculation-inducing hormones. If you get overexcited, your blood will contain higher levels of dopamine and testosterone, both of which are hormones that help cause premature ejaculation. Whether you have sex often or not, do not make it a big deal and do not get overexcited.

From now on, try to perceive sex as a daily habit even if it is not. A good way to calm overexcitement is to follow the breathing techniques I have described later. Treating sex as a novelty and getting too excited will only cause your arousal to spiral out of control. It totally goes against the idea of keeping your body parasympathetic and relaxed.

Always maintain slow and semi-deep breathing. How deep you breathe is not as important as how often. An interval of about 3 to 5 seconds (between each breath, not the actual inhaling or exhaling) works best for most men. Keep it at a fixed pace and do not let it get out of hand. It should be a slow, consistent rhythm.

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

Dr. Nidhi Jain
Dr. Nidhi Jain

Psychiatry

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