Thanks for your query at DoctorSpring.com
However, I would like a few clarifications in this regard:
1) Not able to main tain a full erection- Does that mean that you get a full erection but it doesnt last much.
2) Secondly if you loose the erection, do you loose it after ejaculation or before ejaculation?
3) Further how are your relationships with your partner other than sex and how is your work and family stress as such?
Hope to hear from you,
Dr. Srikanth Reddy
Patient replied :
1.I get erection to some extent but not able to maintain it as hard as it should be.
2.when I insert in vagina it is hard but after some time say 1-2 minutes it starts loosing and I am not able to complete act.I ejaculate in semi erect manner.
3.I am computer engineer by profession stress level is as in private sector we have.n I have good relation with my partner n family.
My erection is not as hard as it should be n yes does not last longer..also less desire for sex.
Thanks for your follow-up
I have gone through your question in detail and I can understand what you are going through.
Its definitely an erectile dysfunction and the cause is psychological. At your age and the fact that you get a good erection but loose it after some time suggests that organic causes can be ruled out.
Normally the patients who visit my clinic have had past traumatic experiences with sexuality or they feel that sex is a bad thing in life or have unexplored subconscious emotional conflicts with their partner which manifests as sexual dysfunction . Occasioanlly even work stress can also lead to this problem. Manytimes the cause cannot be unfolded. Now this illness cannot be helped with medicine and will require psychological help. This is done by a sexologist or a psychiatrist who would like to explore your thoughts about sex and correct them where they are wrong with the cognitive behavioural therapy. Also a therapy called sensate focus therapy is also useful in such cases. In this therapy person should not make insertion as a part of sex and instead have only foreplay with no compulsion for sex for 1-2 weeks so that the patient becomes comfortable with the sex. During this phase the female partner should not touch the genitals of the patient. Now that the compulsion to have sex is solved and hence the confidence improves. I suggest some of my patients to even use aromatic oils for increasing the pleasure. After 2 weeks, you may begin with permission to touch the genitals but still not the actual intercourse. Then after 2 weeks, intercourse may be initiated.
I would suggest that you get in touch with a psychiatrist/sexologist who can help you with these therapies.
Hope this helps,
In case if you have any further query, do let me know.
Dr. Srikanth Reddy MD
Patient replied :
Y not Viagra..I mean it help in ED..My erection z not enough and it is disturbing me...I am planning for child..I too want to enjoy sex.
Viagra (sildenafil 50mg) may help initially, but the main reason behind the problem needs to be evaluated and treated. You may take viagra 50mg one hour before sex as a temporary relief.
Patient replied :
Can you plx guide where can I get it.and is it safe to take Viagra..I have heard Viagra is only available by prescription.
Can you plx prescribe me on prescribtion pad.so that I can get it from market.
Thanks for your valuable feedback.
Unfortunately, this is an online forum and we can't provide prescriptions.
You need to consult a local GP who can write you a prescription.
Also, you can get it in all pharmacies.