My erection does not lasts long, usually in foreplay it's hard by when I try to put it in my wife's vagina, it looses it's tightness and its very embarrassing. I smoke 2-3 cigarettes everyday and does a sitting job and no workouts. I take vigora 50 mg but sometimes it's also not helpful. Please suggest any safe medicine and suggestions. Marital status: Married Are you sexually active? Somewhat Timing during intercourse/ masturbation: 1-5 minutes.

Dr. K V AnandPsychologist14yrs exp

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Dear Lybrate user. Please don?t panic. You must understand erectile dysfunction. There is nothing called erectile dysfunction while having masturbation. Loosing erection in the initial stages of sex or not having erection at all or having late erection or lack of sexual desire are called erectile dysfunction. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence. The main symptom is a man's inability to get or keep an erection firm enough for sexual intercourse. Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn't help, medications and assistive devices, such as pumps, can be prescribed. Yoga, meditation and diet could be prescribed once we know the basic reasons for it. Two natural treatments for ED that have shown promise are red ginseng and pomegranate juice. Ginseng is thought to increase nitric oxide production, leading to improved blood flow. Pomegranate juice is a potent antioxidant and can help too. Psychological reasons usually get cleared with sex therapy. I suggest online sex therapy. Take care. 

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