HomeAnswersSexologyerectile dysfunctionIt is hard to keep my erection in bed, and my penis size seems to shrink. What could be the reason?

Why do I find it hard to keep my erection in bed?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Narmatha. A

Published At August 16, 2022
Reviewed AtAugust 16, 2022

Patient's Query

Hi doctor,

I can not last long in bed. It is hard to keep my erection in bed, and my penis size seems to shrink. Kindly help.

Hello,

Welcome to icliniq.com.

It is said that sex does not exists between the legs but between the ears. It means sexual organs have minimal role in sex, it is actually the brain which breaks it.

Erection occurs when a man desires sex, when he sees, feels, or imagines erotic things and situations. Sexual arousal also occurs if a man is touched in erotic way. When this happens the brain send electric signals via spinal cord to penis which starts to get erected. Erection means a man is physically and psychologically ready for sex. Now what happens when a negative thought comes to mind? For example, a thought about bad sexual experience, an anxious thought of failing to perform or an anxious thought of not able to satisfy the partner. Such thoughts will make the brain believe that the man is not in state of sexual joy and stop sending signals for erection. I suggest you not worry about sexual performance, and stop comparing your performance with others. Be in the moment with your partner rather than worrying about your performance. Sex is not a task to be done, sex is expression of love.

Now regarding premature ejaculation, it has its roots in performance anxiety. Another cause is lack of strength of pelvic muscles. The big factor for premature ejaculation is that our brain cannot hold the sexual excitement for long and it wants ejaculation. I suggest you follow the instructions below:

1. Do kegal exercise for strengthening of pelvic muscles.

2. While doing sex, spend a lot of time in foreplay, satisfy your partner by non penetrative sexual acts.

3. Do not be preoccupied about when you are going to ejaculate, enjoy the moment without putting pressure upon yourself.

Consult with a specialist, talk to them, and take the medications with their consent.

The Probable causes

The probable causes are psychological factors.

Probable diagnosis

The probable diagnoses are premature ejaculation with secondary erectile dysfunction.

Treatment plan

The treatment plan for premature ejaculation includes: 1. Kegel exercise. 2. Relaxation exercises. 3. Meditation. 4. Medicines for erectile dysfunction and premature ejaculation.

Patient's Query

Hi doctor,

Kindly suggest the medications for pre-mature ejaculation and erectile dysfunction.

Hello,

Welcome back to icliniq.com.

I suggest you take the combination of Tadalafil 10 mg and Dapoxetine 30 mg for premature ejaculation and erectile dysfunction.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Meena. Parth Singh
Dr. Meena. Parth Singh

Psychologist/ Counselor

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