Hi...I understand your concern and by what you say I feel that you may be having erectile dysfunction and is very common in many men. Treatment depends on the cause of the problem and can include:
1. Medicines to help you get and keep an erection – Examples of these medicines include Siledenafil/ Vardenafil/ Tadalafil and Avanafil. Men who take certain medicines Like nitrates for heart issues and medications for enlarged protrate) should not take medicines to get an erection. So I suggest these cannot be considered in your case please.
2. Devices to help you get and keep an erection – Erection devices work in different ways. Some are implanted into the penis to form an erection. Others work a bit like a vacuum and help pull blood into the penis.
3. Hormone treatment – Sex problems can happen when a man's body does not make enough male hormones (testosterone). If your hormone levels are very low, your doctor might treat you with testosterone, which can come in a shot, skin patch, skin gel, or tablet that sticks to your gums.
4. Treatment to improve mood – Like antidepressants or mood elevators.
5. Treatments to delay ejaculation – Some of the medicines used to treat depression work very well for this. Some men also use a method called "pause and squeeze." In this method, a man stops having sex and presses behind the tip of the penis when he feels like he is going to ejaculate. After the feeling goes away, he continues having sex.
Among all these - the mood improvers/ the stop and squeeze technique can be very helpful for you as they have been for many of my patients.
The partner being on the top is another good technique.
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