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Q. Why am I not able to have a proper erection during sex?

Answered by
Dr. Ramchandra Lamba
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 25, 2022

Hello doctor,

I am a 26-years-old man, 5'8" ft in height and 77 kg in weight. Recently I had sex with my girlfriend, but I could not have an erection. I have never had sex before, but I never faced this issue during masturbation. I am a little worried. Please help.

Thank you.

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#

Hi,

Welcome to icliniq.com.

Did you have an erection after this incident? Mostly this is because of performance anxiety. Suppose you had a good erection after this; no need to worry. When you are in a hurry, stressed, anxious, you can have a poor erection. Suppose you do not have a morning erection or erection during masturbation. In that case, you may have to go for a specific investigation like blood sugar, TSH (thyroid-stimulating hormone), lipid profile, and testosterone levels. If you have a morning erection or erection for masturbation, no investigation is usually required.

I hope this helps.

Thank you.

Hello doctor,

Thank you for the response. I get morning erection and erection during masturbation. I have never had any issue with this. So if there is any recommendation, please suggest me. Are any medications needed? Please advise.

#

Hello,

Welcome back to icliniq.com.

I understand our concern, but to help you better, please answer the following:

1) What about after that incident did you have an erection?

2) Did you have a morning erection?

Thank you.

Thank you doctor,

I had a morning erection, and I had an erection after the sex, but it was not a complete erection. There was an increase in size, but not hard enough for penetration.

#

Hello,

Welcome back to icliniq.com.

Do you have any medical conditions like Diabetes, hypertension, Thyroid, or any other? Do you consume alcohol or tobacco?

Please provide the information above to guide you better.

Thank you.

Thank you doctor,

No, I do not have any such medical conditions. I recently had my lipid profile and blood sugar tested for a regular checkup. It was all fine. I do not use tobacco. I drink alcohol once in a while. Please advise.

#

Hello,

Welcome back to icliniq.com.

It is psychological erectile dysfunction. However, I suggest tablet Sildenafil 50 mg (phosphodiesterase-5(PDE-5) inhibitor) one hour before sexual intercourse next time to reduce your performance anxiety. It will help in an erection. Spend enough time in foreplay. Do not hurry. Enjoy the present moment.

Thank you.

Thank you doctor,

How many times should I have it? Are there any side effects?

#

Hello,

Welcome back to icliniq.com.

Take the tablet one hour before sexual intercourse. Common side effects are headache, nausea, giddiness.

It rarely causes a painful erection. I hope this helps.

Thank you.

Thank you for your advice.

#

Hello,

Welcome to icliniq.com.

Do not think about what happened in the past. Just enjoy the present, spend enough time in foreplay.

Thank you.


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