My friend is 34 years old. He is a heavy smoker and overweight. He recently got married and wants to start family. Health wise is absolutely fine. No issues what so ever except he can't retain erection for long. What should he do to do for that. He is facing this issue from last 2 3 years.

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. I suggest online counseling and sex therapy. Take care.  

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