Our expert says:
You mention that you have nocturnal and morning erections which is good. You have not mentioned whether you are happy with your erections when you attempt penetration but you have said that you are not happy with your erection during foreplay as the erection is not maintained. Firstly it is important to know that 50% of men at the age of 50 will be affected by erectile dysfunction. It is also important to know that as one ages, it is important to spend more time on foreplay and to use more direct stimulation to the penis in order for erection to occur. You mention that you have Type 2 Diabetes which may contribute to ED and we call this an organic cause. We also know that if one is anxious about performance, if the relationship is not good, or if too much focus is on the erection or performance then erectile dysfunction may also occur. We call this psychogenic ED. It can be that one is affected by a combination of the two. It would be important to try to focus more on the sensations and sexual stimulation and let things flow rather than to be too focussed on the quality of the erection.
I am also wondering how you use the cialis and what your expectations of the drug are? It is important to know that initial attempts on use of these drugs may be unsatisfactory. You may need more doses (4-8). Your erection may not be as firm as expected and may vary from time to time as do normal erections. Sexual response may be impaired if you are stressed, tired or anxious. The drugs need adequate sexual stimulation in order to work. It is important to know that you need to take it quite a long time before you attempt intercourse. If using Cialis you may even need to take it 12 hours before intercoure. I hope that all this imformation has helped you.
For further information please consult SASHA’s website at www.sexualhealth.qw.co.za/dru. If necessary, for referral to a professional in your vicinity, please send an email to firstname.lastname@example.org
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