What causes weakness in penis muscle during erection?
Patient's Query
Hello doctor,
I have some issues with my penis. I cannot get it strong enough when I am fully erected. The muscle of my penis is weak even when I am very horny and have an erection. I have done some blood analysis, and the results are fine and normal. Some doctors say that it is a pathological issue. I also stopped masturbating for a month, and I have not seen any improvement. Please advise me if there is anything I can do to get it stronger. Please help.
Thank you.
Hi,
Welcome to icliniq.com.
I read your query and understand your concerns.
Please provide the following information point-wise so that a diagnosis can be made and a suitable remedy can be offered.
- How long the problem is there?
- Have you experienced similar issues in the past?
- How did the problem start?
- Was it built up slowly or abruptly?
- What could be the factor, in your opinion, for the onset of the problem?
- What has been the frequency of the problem in the last month?
- What number of sexual intercourse or masturbation failed in the last month?
- What are the factors that increase the problem?
- Factors that relieve the problem- can you describe them in detail, if any?
- Do you get an early morning erection? If yes, how frequently and how intense is it?
- Details of past medical illnesses, like duration, any complications, and treatment received to date.
- Do you take any substance of abuse like alcohol or tobacco and others? Investigations done to date and reports - please attach them. Do you have any psychiatric illness?
- Any other problem you would like to report?
I must assure you that once we know the cause, I can guide you better in regard to treatment.
Please revert so I can assist you.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
It has been two years, and never experienced a similar problem before. I actually had an anal sex (I got penetrated) with a guy two years back. Since then, I have had this problem abruptly, and I never had sex with someone again. I am afraid that getting penetrated the last time triggered this weakness in my penis muscle. I have this problem frequently, and I masturbate two to three times constantly every two days. I have negative thoughts about how weak I am sexually. And that I cannot get married because of this weakness in my penis. I believe that exercising will relieve some of the weakness. Even though sometimes I get an early morning erection, the muscle of my penis is not strong enough as it was before. Almost 70 % of intense erection, but the penis is not strong enough. I only used to take Accutane (Isotretinoin) for six months for my acne and finished the course. No, I do not. I have done some blood analysis, and the results are fine. Thank God. I do not have any psychiatric illness, but I am in a period of changing myself from Gay to Straight.
Thank you.
Hi,
Welcome back to icliniq.com.
I have gone through the provided answers and am completely convinced that the pathology lies in the psychological aspect, and there is nothing that can be called an organic problem or real muscle weakness. Below here, I am delineating a few of the strategies that will help you with the erection problem. Firstly, get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual inadequacy, self-doubts, guilt, past negative sexual experiences, poor communication or understanding with the partner, etc., can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the doubts and fears and improving your self-confidence levels will definitely help in improving sexual performance.
Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy, and love. So, just involve yourself in those feelings and stop focusing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve.
Most importantly, performance anxiety soon becomes a "vicious cycle." That is, anxiety leads to poor performance, and poor performance then leads to further anxiety, and this keeps on increasing. In my view, this vicious cycle is already established in your case, and there is a definite need to break it altogether and take control of yourself.
One more problem responsible for psychogenic ED is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens, and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly but wait till you get fully aroused. So, increase and spice up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when your partner is also aroused and involved, then things keep flowing smoothly and effortlessly, and you do not have to be constantly anxious about whether you are satisfying your partner or not.
Distract yourself and stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused. Wish you all the best in your sexual health.
I hope this helps.
Please revert in case of further queries.
Thank you.
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