Question #483
211 days ago
212
Erectile dysfunction - #483
Shael
I am having difficulty having an orgasm, and when I have sex I cannot keep my penis erect and I usually finish quickly and I am not even able to have sex the second time
Age: 32
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Sexual desorder
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Doctors’ responses
To understand the root cause of your difficulty in achieving and maintaining an erection, as well as challenges with early ejaculation and inability to have sex a second time, a more detailed assessment is essential. Factors such as lifestyle habits, stress levels, sleep quality, and any medications or supplements you’re taking can significantly impact sexual health, so it would be helpful to know more about these aspects. Additionally, it’s important to consider any history of underlying health conditions like diabetes, high blood pressure, or psychological stress, as they often influence sexual performance. To proceed, a few diagnostic tests would be beneficial: blood tests for testosterone, blood glucose, and lipid levels, which may highlight hormonal or metabolic factors; a full hormonal panel, including thyroid and prolactin levels, as these hormones play a role in sexual function; and a penile Doppler ultrasound to evaluate blood flow, which is crucial for maintaining an erection. If stress or anxiety is contributing to your symptoms, a psychological assessment may also be valuable. This comprehensive approach will help pinpoint any physical or psychological factors, allowing for a targeted treatment plan.
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That sounds challenging, so let’s dig into this from an Ayurvedic angle. The symptoms you’re describing tie into some typical factors like stress, lack of energy, and sometimes imbalances in your body’s doshas. As per Ayurveda, this is often connected with the Vata dosha, which governs movement and activity in your body, and a bit of Pitta, related to passion and transformation.
To start off, think about your diet and lifestyle first. Eating nourishing foods that strengthen Ojas — which is like your body’s vitality essence — can make a big difference. Try having warm, cooked meals with foods like ghee, almonds, and milk. Avoid highly processed or spicy foods for a bit, as they can aggravate those doshas.
Sometimes, Agni, your digestive fire, might be weak. You'd want to boost it with ginger tea before meals, it helps with digestion and energy. Also, remember to chew your food slowly.
In terms of daily routine, adding some meditation or yoga could help stabilize Vata and Pitta. Simple breathing exercises, like anulom vilom or bhramari, can be calming and ground your mind, improving your focus during intimacy. Also, Ashwagandha is a useful herb, traditionally it’s known to rejuvenate and assist with sexual energy. A teaspoon with warm milk before bed can help.
Rest is crucial too, since fatigue can impact everything. Aim for seven to eight hours of sleep, and avoid screens before bedtime. If stress is playing a role, gently diffusing some lavender or sandalwood essential oil at night might ease the mind.
But hey, it’s essential to chat with a healthcare provider if it’s getting in the way of life significantly. Sometimes, underlying medical conditions like hormonal imbalances could be making things challenging, and they ’d help sort that out. Ayurvedic practices can definitely support you alongside other treatments, to bring back balance and comfort.
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