Dr. Meena. Parth Singh
Psychologist/ Counselor
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Patient's Query
Hello doctor,
I am 30 years old and got married 5 months ago. Initially, I was able to perform during sex, but I ejaculate within a matter of 10-15 seconds. In an attempt to achieve satisfaction, I try to have sex after a gap of two to three hours, but I am unable to get an erection. Many times during foreplay, I lose my erection and am unable to proceed with sex. Before marriage, I used to masturbate frequently, which has resulted in loose skin over my genital area. During sex, my erection is weak, and I am unable to sustain it. The erection is so weak that I am unable to have anal sex as well. Additionally, I have a history of recurring urinary tract infections (UTIs) for which I underwent complete medication. My prostate is slightly enlarged, and I experience a burning sensation while urinating. Now, I am deeply concerned and anxious. I lose my erection quickly, and sometimes, with a soft erection, I try to proceed, but I find no satisfaction. Please help.
Hello,
Welcome to icliniq.com.
I understand your concern. Let me explain to you the psychology behind sexual dysfunction. It works on the principle of learning, involving rewards and punishments in simple terms. When a person's sexual experience is pleasurable, the mind receives a reward and desires to repeat the act with confidence and anticipation of enjoyment. On the other hand, if a sexual act results in unsatisfactory outcomes (such as severe pain or premature ejaculation), the mind perceives it as punitive and unpleasant. Consequently, our mind becomes anxious at the anticipation of the sexual act because it is associated with a negative memory. As a result, a man may lose an erection if he has had unsatisfying or embarrassing sexual experiences.
To address this issue, you need to relearn that sex can be enjoyable. I suggest you take a few medicines that can help with premature ejaculation and erectile dysfunction to diminish the anxiety associated with sex which are, tablet Paroxetine 10 mg once a day, and tablet Tadalafil 10 mg once every three days.
Thanks and regards.
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Psychologist/ Counselor
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