How can weak erection leading to erectile dysfunction be treated?
Patient: Hi, My issue is i am not able to penetrate inside my girlfriend while having sex. My penis stands but for a very small duration. Moreover it is not that hard. I even beleive the size of penis is less. Please advice what should i do. I m 27 years of age Doctor: Hello dearI understand your concernErectile dysfunction could be due to medical causes like diabetes, hypertension, low testosterone, problem in back nerve, obesity, smoking and alcohol use (Complete absence of the morning erection suggests medical cause)Psychological cause: excessive stress, fatigue, performance anxiety, anxiety due to failure in the past and inability to satisfy the partner.I would suggest to go for complete health check up, fating blood sugar, ESR, serum testosterone level, CRP, USG of pelvis and scrotumIf all the tests will come normal then problem mostly due to psychological cause.For that you require sex counselling and consultation with psychiatric.Meanwhile , following advises will help you:Do regular exercise like walking, yoga, kegel exercise, breathing exercises.During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also. Take high protein diet, drink plenty of water.Avoid sex and masturbation when you are feeling of tired.Take proper rest and sleep of at least 7-8 hours.If problem persists then Medications likeTetrafol plus: It can help in erection and should be taken after complete physical evaluation as mentioned above. It will give promising results with daily intake up to 2 monthsDrug like Cialis can be useful too.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar