What could be the reason for an inability to maintain a strong erection after numerous failed attempts?

Question

Hello doctor,

I failed to maintain an erection on the first attempt while having sex. After this, I have had a fear of it happening again, which causes more anxiety about engaging in intercourse. I am unable to maintain an erection strong enough after numerous failed attempts.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

According to your complaints, you may be suffering from erectile dysfunction and the reasons could be:

Stress due to work or family-related, night duties – plan for regular exercise and yoga.
Depression.
Varicocele – An ultrasound scrotum can help diagnose
Fear of failure - Having one episode of ED once may make you feel you will end up with it.
Low self-esteem (chronic masturbation).
Homosexuality – Not attracted to the same sex.
Religious constraints.
Smoking and alcohol.
Long-term illness – Cardiac disease, thyroid disease, kidney disease, or any other disease with long-term medication.
For simple vitamin deficiency – You can use tablets Zincovit (vitamins and minerals) and Shelcal (calcium and vitamin D).
Negative attitude towards your partner.
Hormonal issue – Thyroid issue, low testosterone, and increased prolactin.
Long-term drug usage.
Diabetes and hypertension.

You need to get the following investigations done: Doppler Penis, ultrasound of pelvis, and scrotum, blood pressure, random blood sugar, free T3 and T4, testosterone, and TSH. Share more details regarding the above reasons, we can work on the diagnosis and treatment. You need to plan for regular exercise and a proper diet. List of exercises: basic exercises like Kegels, squats, yoga, running, fast walking for five minutes, planks, push-ups, mountain climber, glute bridges, bicep curls, pull-ups, and jump squats. Take foods like strawberry, apple, avocado, sweet potato, sesame seed, almond, garlic, and little chocolate. For a temporary solution, you can use the tablet Mildfil (Tadalafil) 5 mg twice a day.

Thank you for consulting me.

You can always come back and reach me at icliniq.com.