Hello
Thanks for your query at DoctorSpring.com.
I have gone through your question in detail and I can understand what you are going through.
Normal sexual cycle involves getting a desire and then an erection then the ejaculation and then loosening of erection. I understand that you had a problem of tight foreskin initially which got rectified with time. Then you had some episodes of early ejaculation which it seems has settled down. I have a couple of queries:
1) AT PRESENT, do you have an early ejaculation or an erection problem. How is your erection before the ejaculation occurs?
2) What are the thoughts that go through your mind while you are having sex?
3) Do you get an early morning erection? How is your erection while you are masturbating?
Do let me know these details.
Kind regards
Dr. Srikanth Reddy MD
Patient replied :
Hello,
thanks for your reply.
1. While having sex I have an erection problem. If me and my partner were just to pleasure each other without having intercourse I have a much harder erection.but the moment I know sex is a possibility I get very worried and invariably struggle having an erection. If I do manage to have sex, the actual intercourse doesn't last for more than 2 mins.
2. Before penetration all I can think of is if I will be able to achieve a strong erection. If I do penetrate then I get less worried but then I find it hard to last long. Though other than my long term girlfriend who I broke up with, I haven't really managed to have sex. I have either chickened out, or have failed miserably with the erection.
3. Earlier I wouldn't get an early morning erection much. Since I've reduced my masturbastion , I do occasionally get an erection sometime during the night. I don't know if it's cos I think something or just a natural thing. While masturbation the erection is quite strong. But constant stimulation is necessary. If I stop stimulating myself physically then I start focussing on the erection and lose it quickly. I have tried putting on a condom during masturbation. The erection drops a bit when I do that.
I am a very fit athlete otherwise. Do not smoke. Drink occasionally. I do worry a lot in general. Has my wrong masturbation technique of the past affected me? Or is it just psychological. I have read somewhere that I need to abstain from masturbastion and porn for 90 days to reboot. I am extremely confused and frustrated. This problem has consumed me. Please help.
Hello
Thanks for the follow-up information.
The problem of erection that you are having is probably due to psychological reasons. The fact that you are able to achieve an erection on and off suggests that there is nothing wrong with your penis. Probably its that you are afraid of premature ejaculation that you are loosing the erection. Manytimes when we correct the premature ejaculation , the problem of erection may settle down.
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 wife 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.
There is no sureshot immediate cure but with time this problem settles down.
Hope this helps,
Patient replied :
Hello,
thank you for your reply. However, I seem to have more of a worry getting an erection. I wouldn't want to go for medications just yet. I would like to consult somebody and meet them to get everything checked and explain all the problems personally. Could you please suggest some good doctor or sexologist based in mumbai. I would like to meet him/her. Awaiting your reply. Thanks
Hello
If you need quality sex therapy without medicines then you may meet:
Dr. Mahinder C. Watsa
Chief Consultant
Medikon Sexual Sciences
Sunder House, Top Floor, Opp. Park Club
10, Shivaji Park, Mumbai 400028, India