Why is it difficult to keep an erection?
Patient: My husband is finding it difficult to keep an erection.  He has the urge to pass urine, but it comes out in dribs and drabs.  Not painful but annoying and affects his erection.  He has been to see the doctor and tested negative to urine infection.  What can this be? Doctor: Hi,  I can understand your concern for your symptoms, difficult to maintain erection called Erectile Dysfunction.  The common causes are  1. Decrease sensation of the penis- can be due to infection, diabetes, spinal injury, recent masturbation 2. Stress due to work or family related, night duties  3. Depression 4. Varicocele 5. Fear of failure -  having one episode of ED once may make you feel you will end up with ED 6. Low self-esteem (Chronic masturbation) 7. Homosexuality 8. Religious constraints 9. Long term illness – Cardiac disease, thyroid disease, kidney disease, any other disease with long term medication  10. Negative attitude towards Your  partner 11. Hormonal issue – thyroid issue, low testosterone 12. Long term drug usage 13. Diabetes and Hypertension  Ruling out the above reason to find his cause and appropriate treatment.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. S.R.Raveendran, Sexologist