A new question is answered every 9 seconds

Unable to get full erection while sex. Mediccation?

Resolved Question:

I am a 28 year old male 5'11, 12.5 stone, slim build who has not been able to get a full erection for 7 years old patientand has been getting worse and worse.
Starting off with not been able to get a full erection but was able to keep it up. Then next I wasn't able to achieve an erection at all. (all with women)

So in 2012 I give up smoking, had no sexual contact and got a mountain bike. Every day for 6 months I would cycle mountainous terrain, 36 km, 42 km and occasionally 52 km trails ( 52 km took over 4 hours to cycle, not stopping). Went from a 34 inch waist to a 32 inch waist. After the 6 months meets a woman and got a full erection but this time the second I got a full erection my penis had a pumping sensation and I ejaculated straight away. She tried to stimulate my penis one hour later. I couldn't get an erection but was able to ejaculate

So I stop mountain biking and one month on meet another woman. This time I couldn't get a full erection but did ejaculate.

On to 2015. My waist is back to 34 inches. I get a job that involves heavy lifting, lots of walking (up to 7 km a day) and in just one month i'm down to a 33 inch waist. Meet another woman. This time can't get a full erection and ejaculate after 40 seconds of intercourse.

Decide I need medication so do some reading and see a lot of good things said about Amitamin M forte product, (oral use) (German pharmaceutical company) offers ingredients and Vitamins (all natural) others do not. I get 3 months supply. Start taking 8th of July 3 weeks into taking medication I notice more frequent erections but not full ones. Meet a woman and the second she starts stimulating my penis I ejaculate while it's still only half an erection.

I decided to keep taking the medication, It's now 4th of August and it's not easy to say if there has been any improvement. I notice I am getting erections now where the foreskin is pulled back fully (which wasn't happening before) but it's only 3/4 of the way to been a full erection and is never stiff or set, can fall in a matter of seconds and feels like with the slightest of touches it could ejaculate. It just feels very weak.

I think I should go to my GP doctor and see what he says but I would like to know what you think the right course of action should be to solve the problem? Or is it gone too far to be cured


Category: Sexologist

Ask Your Own Question

Category: Sexologist
Dr. Srikanth Reddy is online now

Expert:  Dr. Srikanth Reddy replied 4 Days.

Hello
Thanks for using DoctorSpring.com for posting your query.
I have gone through your question in detail and I can understand what you are going through.
The condition that you are suffering is called premature ejaculation. Now its a type of anxiety disorder and the person normally suffers from performance anxiety where in he is anxious if he can perform or not.
First you can try the start stop technique. Your partner is supposed to start stimulating you and the moment you are about to ejaculated she is supposed to stop all the stimulaton and and hold your penis head hard. Now this should be repeated.
Perineal exercises also help. These are the muscle exercises that occur when you contract the perineal muscles like when you are trying to stop the urine or feces. You have to do this contrations repeatedly daily to tone up the perineal muscles.
One solution is medications. Some patients are not willing to wait for these acts to produce results and instead demand medicines. I prescribe them 12.5 mg paroxetine at night and they are doing good. Normally one should try until 25mg of Paroxetine. If paroxetine is not effective then Dapoxetine is an option. It has to be given 1 hour before having sex and will prolong the sexual interval.
Your loss of erection seems mostly due to the loss of confidence due to premature ejaculation. Ones the problem of premature ejaculation settles down, the problem of erectile dysfunction may also settle down.
Still you may get the serum testosterone levels checked. Occasionally deficiency of the same may also cause faulty erection.
Hope this helps,
In case if you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy


Patient replied :

Yes I think it could be a anxiety disorder. I am calm and can chat to the person with ease but do feel a nerves sensation at the same time and on a rare occasion start feeling very hot. Would paroxetine effect me while i'm working at my job? I work in Contruction. When in 2012 I decided to have no sexual contact, masterbation included ( 1 year without) and cycled (raced) mountainous terrain trails every day. When I meet a woman and got a full erection but the second I did my penis started pumping and I ejaculated. (first time I ever prematurelly ejaculated) Was that to do with my testosterone level? I'v stopped mountain biking but I have had the problem ever since. I had a masterbation problem but stopped in mid 2011 for over 2 years. That didn't fix the problem. Due to excessive masterbation problems since my teenage years old patientI believe this was the cause of my erectile dysfunction and due to not getting it sorted it evolved into premature ejaculation aswell. Is this the cause of it? The Amitamin M Forte I am taking since July 8th is for men with vasular erectile dysfunction. Do you think this is the right medication for me and is there something in it that I should not be taken or is it all okay?. I ask because I did suffer from premature ejaculation before taking it but now since taking it my penis only needs to be touched for it to ejaculate. Was it just on a downward spiral anyway and had nothing to do with the medication or do you think it did? I'm going to show you what amitamin M Forte website says it is given me to help you with your answer.

Daily amount


3.000 mg L-Arginine


M forte bei Erektionsstörungenamitamin® M forte’s central ingredient is 3,000mg pharmaceutical grade L-arginine. The natural amino acid L-arginine is the the only precursor for the synthesis of Nitric Oxide (NO) in the human body. NO is a critical neurotransmitter in the regulation of arterial diameter and therefore rate of blood flow.

Zinc 10mg


Zinc is one of the most important trace elements in the human body. Amongst many other things it is a critical ingredient in the production of healthy sperm and maintenance of the male sex hormone testosterone, which body produces from zinc and amino acids. Healthy testosterone levels are important for male libido, fertility as well as general drive and motivation.


Pine Bark Extract 80mg


Bark extracts have been used for medicinal purposes for thousands of years. Pine Bark Extract is especially effective and has been extensively researched and applied in modern nutritional techniques. The extract of the French maritime pine contains many polyphenols, which have vascular protective properties. We use only high-grade extract of the French maritime pine (Pinus pinaster).


Betaine 500mg, folic acid 300pg, vitamin B6 4.2mg and vitamin B12 7.5pg


Arginin und Potenz. Die Aminosäure L-Arginin bei erektiler DysfunktionHomocysteine ??is a harmful by-product of regular human metabolism. There are many causes of elevated homocysteine ??levels. An increased homocysteine ??level is responsible for damaging arteries and vessels in particular. The fine vessels of the male penis are particularly susceptible to vascular damage. Homocysteine ??therefore is a cell poison and must be permanently degraded in the body to be rendered harmless. It can only be metabolised if enough folic acid, vitamin B6 and vitamin B12 are present in the system. Furthermore, Betaine is centrally involved in the degradation of harmful homocysteine??. The combination of these nutrients is therefore very important for healthy homocysteine ??levels and healthy blood vessels - and good erectile function.


Vitamin D 10pg


Vitamin D contributes to the maintenance of normal muscle function and plays an important role in cell division - not only in the blood vessels. Vitamin D can be formed only in strong sunlight and the associated UV radiation on the skin. Food generally contains very low levels of vitamin D.


Vitamin E 36mg


Vitamin E and zinc help protect cells against the destructive oxidative stress caused by free radicals.


Expert:  Dr. Srikanth Reddy replied 3 Days.

Hello
Paroxetine is safe even if you are working in a construction business.
Masturbation is a safe way of expressing ones own sexual desires. It leads to no physical or mental problems. The sperms and semen which are formed in the body are meant to come out of the body. They cannot be accumulated in the body and like urine they are formed in the body and are thrown out. They may come out on having sex or during masturbation. If you are indulging in none of these then the sperms and semen will come out at night by self (night fall) or routinely during any sexual stimulation. This is a normal phenomenon and will not cause any harm to you. Masturbation is safe and will cause no harm. It is harmful only when indulged in excessively leading to avoidance of normal work and schedule. Masturbation cannot lead to erectile dysfunction/premature ejaculation. It is also not related to testosterone as well.
The suppliment that you are taking is good for erectile dysfunction but not very effective for premature ejaculation. You may continue to take it.
Regards


Patient replied :

Is it okay to take paroxetine and the medication I am taking at the moment for erectile dysfunction (Amitamin M Forte) at the same time? Amitamin M Forte is for treating Vascular problems.


Expert:  Dr. Srikanth Reddy replied 2 Days.

Yes, it can be taken together safely.
Regards.


Dr. Srikanth Reddy
Category: Sexologist
Experience: 
Doctor of Medicine (MD), Psychiatry Residency Program,2001 – 2012
M.B.B.S,Mahatma Gandhi Institute Of Medical Sciences, Sevagram

Certificate Course in sex Therapy and Counselling, Sexology and Counselling, A
Sexology,Medikon Sexual Sciences, Mumbai

Training in Advanced Neurology at a leading corporate hospital (CARE hospital) in Hyderabad

Child Psychiatry Training in National Institute of Mental Health and Neuro-Sciences, Bangalore

Sex Therapy and Counsellingat MEDIKON Sexual Sciences, Mumbai.
Dr. Srikanth Reddy and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.



Specialists from
UK, US, Ind,
Aus & NZ


48000+ consults
in 2015


98.1% Satisfied
users


MEDNET Board,
100% Satisfaction
guarantee

How it works


  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News

News

Make informed and better medical decisions.

Close x


Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.