Hi, I'm 27, I have been dating the same woman for almost a year, and I am unable to keep an erection, and when I do, it's not a very firm one. I have tried taking zinc supplements, and this helps with my libido, but not so much with erections. When making out or during foreplay, a get pretty substantial erections (I also get firm erections during my sleep), but when intercourse comes on, I lose it. I have only had one other partner, and my current girlfriend is quite a bit more experienced than I am. I am very worried about pleasing her for some reason. Of course I can't be sure, but I believe this to be a chronic case of psychological erectile dysfunction. She has been very patient, and it seems like I have tried everything, short of prescribed medication. Are there any other remedies you might be able to suggest besides sex therapy? Can medication be prescribed to someone with psychological erectile dysfunction? Your help would be appreciated, thank you.
Yes, medications have been used with a certain amount of success even in people with psychological ED. But still, therapy remains to be the best way out.
What you could try is combining both medicines and therapy, and then taper off the medicines slowly.
I would like to add here one thing that I find could be a major factor in your ED. You seem to have a pressure of performance. That could create anxiety during the actual performance. If pleasing your partner is the primary aim, you could use other methods such as foreplay, to get to the point where you can start intercourse.
Medicines will not help you in the long run if you don't combine them with therapy. Find out some more information about 'Sensate Focus' and see if you can apply that.
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