Hello,
Thanks for your query at DoctorSpring.com
Before we proceed, I would like to know a few more details.
1. What is your age? Since how long are you married?
2. Any habit of smoking/ alcohol
3. Any history if diabetes or hypertension
4. Do you lose the erection after an early ejaculation or you don't get an erection at all?
5. Do you have an erection when you wake up? What is your experience with masturbation?
Let me know these details so that we can guide you further..
Regards
Dr. Srikanth Reddy
Patient replied :
I am 37, married for last 7 years.
I don't smoke, I drink very rearly not more than a can of lager beer.
I don't have any diabetes, yes hypertension was there but after aten 50 tab for 3 months it came back to normal.
At current state I want to have sex but no erection at all.
Yes morning wakeup erection in there. And so as if masturbate.
Hello
Thanks for giving all the necessary details.
At the age of 37 yrs in the absence of hypertension/ diabetes/ smoking/ excess alcohol, the cause of erectile dysfunction seems to be unlikely to be organic. Further the ability to get morning erection and erection while masturbation further support the above assumption. It seems to be due to psychological reasons. 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.
If you want a quick fix solution then Tab . Sildenafil 50mg 1-2 hours before sex can help you with your symptom but wont cure the illness.
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.
Kind regards
Dr. Srikanth Reddy
Patient replied :
Thanks for your advice. will go with your suggestion.
IThink will be needing a prescrption for Sildenafil 50mg,
Please provide if passible.
Sorry, being an online forum we are not allowed legally to give prescriptions online.
You will need to consult your local GP for the same.