HomeAnswersPsychiatrysex driveI have a low sex drive, and I am scared that I might not get an erection. Please help.

Can low sex drive cause erection problems?

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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.

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Published At August 31, 2023
Reviewed AtJanuary 4, 2024

Patient's Query

Hello doctor,

I am a 29-year-old recently married guy. The problem with me is I do not get excited very easily, and my sex drive is also not up to the mark. One of the reasons for this is that my wife too, has a low sex drive. While we are in the act, she hardly does anything to get me excited. I have to get excited myself, and by doing that, it takes a longer time to get an erection, and that too is not a complete erection. Can this be a reason for not getting excited?

Also, I would like to tell you that our first night was not good. Since I was completely inexperienced when it came to sex, it did not go quite well, and my partner was not at all happy about it as she had dreams of the first night. It was a chaotic situation, full of cries and complaints. Then for the next few days, I was in fear. But when we went on our honeymoon, things went better with me, and I got an erection, but then she stopped me every time due to fear of pain. Now two months have passed since that, and now she still has fear and is reluctant to have sex. I, as such, have a low sex drive, so I do not force her too much, but I do ask her sometimes, as this is an important part of married life. What I feel is, what if I could not get excited and get a proper erection, in case she gets into a mood? I know this is a mental issue, and I need to get out of this, but how? I get a proper erection while masturbating and an erection in the morning. Would you suggest I take any pills? If yes, then please name one. Is Caverta 50 mg a solution for this?

Hello,

Welcome to icliniq.com.

I can understand your concern.

A lot of couples suffer problems on their first night. A poor experience, cultural factors associated with the first night, fatigue, both physical and mental associated with marriage, dramatic representation of the first night in movies, etc, are the factors that result in poor performance on the first night. This is not your fault, and avoid feeling embarrassed about this. This poor performance has resulted in a loss of confidence and you feel bad. Your partner too, is not supportive of that issue, and this has caused negative effects on your confidence. Try to remain relaxed since you are getting good erections during masturbation and in the early morning. This means that there is no abnormality, and everything is in your head only. If she is having pain during sex, then that is probably due to poor excitation, tight vaginal muscles, and lack of lubrication. For lubrication, you can use a good lubricant like K-Y jelly (Glycerine and Propylene glycol), and this will make penetration smoother. Spend more time in foreplay. This will relax her vaginal muscles, and she will feel less pain. For increasing erection and improving confidence, you can think of using a Tadalafil tablet. Take the tablet about one hour before sex, and you will feel better during sex. There is nothing to feel low about that. With time, your problem will be solved.

I hope this helps.

Thanks and take care.

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

Dr. Seikhoo Bishnui
Dr. Seikhoo Bishnui

Psychiatry

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