How do I overcome erectile dysfunction?
DEAR Doctor,<br>I am 42 and married with four children between two and 13 years. I love my wife and she loves me. My biggest problem occurs when we go to bed.
DEAR Doctor,
I am 42 and married with four children between two and 13 years. I love my wife and she loves me. My biggest problem occurs when we go to bed. Sometimes I erect but fail within a short time, or just ejaculate immediately. The second time becomes almost impossible, however much we try together. I don’t imagine any social or psychological problem! Is it physical or what? Which doctor can help me?
Patrick
Dear Patrick,
Your condition is referred to as Erectile Dysfunction. It is the inability to achieve or maintain an erection sufficient to meet your sexual needs or those of your partner. It affects about 52% of men above the age of 40.
Premature ejaculation is common in the young adolescents and is usually a result of anxiety. Fear of impregnating the woman, getting sexually transmitted diseases, concern over sexual performance and other interpersonal factors.
The problem may also be due to intra-psychic factors (sexual guilt, fear of intimacy, depression.) It may be associated with low levels of testosterone, a male sexual hormone. Situations involving place, time, a particular partner, belief that you are bewitched, perceived competitive defeat or damage to self esteem can also lead to erectile dysfunction.
When it is a deep-seated intra-psychic or interpersonal conflict, it requires individual psychotherapy or marital therapy with a specialised counsellor.
However, it may also be physiological. It may be associated with diseases like diabetes mellitus, syphilis, hypopituitarism and hypothyroidism. Other diseases that cause erectile dysfunction include inflammation of the genitalia, spinal cord injury, weakening of the blood vessel walls (aortic aneurysm), hypertension, tumours of the brain or pituitary gland, infections of the nervous system, heart-blood vessel accidents, surgeries in the genital region, alcoholism, drug dependence and smoking.
Check for such conditions and a relevant doctor can then assist you. If you have no problem, then the matter is psychological.
Your partner should be understanding and desist from putting pressure on you. Both of you should still engage in non-genital pleasuring and non-demanding coitus. It can alleviate the failure to inhibit premature ejaculation.
Counselling or medical treatment of underlying causes may alleviate the situation.
Dr Mugarura J Herbert
mugarrajk@doctor.com
Write to
Ask The Doctor,
Box 9815, Kampala
I am 42 and married with four children between two and 13 years. I love my wife and she loves me. My biggest problem occurs when we go to bed. Sometimes I erect but fail within a short time, or just ejaculate immediately. The second time becomes almost impossible, however much we try together. I don’t imagine any social or psychological problem! Is it physical or what? Which doctor can help me?
Patrick
Dear Patrick,
Your condition is referred to as Erectile Dysfunction. It is the inability to achieve or maintain an erection sufficient to meet your sexual needs or those of your partner. It affects about 52% of men above the age of 40.
Premature ejaculation is common in the young adolescents and is usually a result of anxiety. Fear of impregnating the woman, getting sexually transmitted diseases, concern over sexual performance and other interpersonal factors.
The problem may also be due to intra-psychic factors (sexual guilt, fear of intimacy, depression.) It may be associated with low levels of testosterone, a male sexual hormone. Situations involving place, time, a particular partner, belief that you are bewitched, perceived competitive defeat or damage to self esteem can also lead to erectile dysfunction.
When it is a deep-seated intra-psychic or interpersonal conflict, it requires individual psychotherapy or marital therapy with a specialised counsellor.
However, it may also be physiological. It may be associated with diseases like diabetes mellitus, syphilis, hypopituitarism and hypothyroidism. Other diseases that cause erectile dysfunction include inflammation of the genitalia, spinal cord injury, weakening of the blood vessel walls (aortic aneurysm), hypertension, tumours of the brain or pituitary gland, infections of the nervous system, heart-blood vessel accidents, surgeries in the genital region, alcoholism, drug dependence and smoking.
Check for such conditions and a relevant doctor can then assist you. If you have no problem, then the matter is psychological.
Your partner should be understanding and desist from putting pressure on you. Both of you should still engage in non-genital pleasuring and non-demanding coitus. It can alleviate the failure to inhibit premature ejaculation.
Counselling or medical treatment of underlying causes may alleviate the situation.
Dr Mugarura J Herbert
mugarrajk@doctor.com
Write to
Ask The Doctor,
Box 9815, Kampala