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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35497
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Penis not staying hard during intercourse. what can i do.

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penis not staying hard during intercourse. what can i do. problem started last month. i am 37years old.

Greetings.

Do you have diabetes, high blood pressure?

Do you smoke or take alcohol regularly?

Are you able to masturbate?

Are you on any medications?

Dr. Arun

Customer: replied 7 years ago.

i have highblood pressure

no diabetes

no smoke or alcohol

i can masterbate

i take coreg cr 20 milligrams

Hello,

Since you can keep the erection on masturbation, it means that during sex, you are improperly stimulated or you do not enjoy sex due to distraction or some other reason (like watching yourself very closely, remembering your occasional failure like early ejaculation etc). That also denote that you do not have any physical problem but psychological reasons for inability to keep erection. Please remember, sex is more in the mind than in organ. Do not get depressed or obsessed by your occasional failures. Sex is like sports. Sometimes you are not at your best and if you keep on thinking on this aspect the subsequent performances can suffer. So be confident on yourself.

The treatment if needed entails;

1) Sex therapy sessions; reduce performance pressure and focus on pleasure. About 20 sessions may be needed for the optimal outcome.

2) Hypnosis

3) Withdrawal of the medication; if one is considered the cause. In your case your medicines do not seem to be responsible.

4) Avoidance of the stress, anxiety, and other factors. Enjoying the sex, changing position for best glans stimulation and partner's effort in this also play an integral component in the positive results.

You may consult a urologist for an initial evaluation, if this persists.

Please feel free for your follow up questions.

Dr. Arun

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