This is Dr. David
what sort of erection problem are you having?
do you have performance anxiety?
do you have excessive anxiety symptoms?
erections have become non existent when with a partner
on my own they are more effective but not 'hard'
this leads to serious anxiety
this sounds like performance anxiety.
with bad anxiety, it can ruin an erection.
the more you stress about having an erection, the less of an erection you will have.
this is not a biological problem.
but surely i shouldn't have anxiety when im on my own?
this is a psychological problem.
right, and that is why your erections are better on your own.
make sure you drink enough fluids and get enough sleep as well.
these can help your erections
i drink lots of water
and if you take a break from masturbation for a few days, your erections can be better.
avoiding caffeine and alcohol before sex can help as well.
i dont masturbate often because of the poor performance
you can see your doctor and get blood testosterone testing
and see if your testosterone levels are low.
this can also affect your erections.
i get plenty of sleep, do drink a fair amount of caffeine hough
I would cut down on the caffeine.
blood testosterone, can this be treated?
increased exercise can help boost testosterone levels and help improve circulation
which can help improve erections.
do you exercise regularly?
im in good physical shape
run/play football/gym at least 2/3 times a week
that is good.
talk to your doctor about getting your blood testosterone levels checked.
they could be low.
believe me I've read all the information on erection problems, not come across much on blood testosterone thoguh
can that be treated?
yes, it can be treated.
there are treatments to help bring up testosterone levels.
do you have other questions?
what sort of treatments are available?
there are testosterone injections or testosterone gels which can help bring up your testosterone levels.
is this the kind of thing that can be 'cured' or would it require repeated treatment?
it depends on your testosterone levels
excuse the pun but sounds like i need to 'man up' and go and see my gp, this may seem a silly question but what would you recommend i say to them? its obviously quite a sensitive subject and im quite nervous about approaching it
you need to tell your GP what you are having
not hard erections.
bad erections with a partner.
ask for testosterone testing.
you might need to see a sex therapist as well to help you with performance during sex.
will my gp be able to help with all of this? its not the kind of thing I've ever wanted to ask but its really starting to drag me down
yes, your GP can help.
and can refer you to see a therapist or a sex therapist if you need to talk to a sex therapist
let me know if you have other questions
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does this conversation save somewhere so i can refer back to it?
yes, you have a link to this conversation in your email box.
great. thanks again.