Our expert says:
You have mentioned that you are able to achieve an erection during foreplay, but erectile problems may occur for a number of possible reasons. The most problematic of all could be serious health issues and so it is recommended that you have a physical check up.
If all is well on the physical front, it is likely that the difficulty can be explained by a psychological block - e.g. fear of sexual failure/poor performance (e.g. losing erection, ejaculating too quickly, partner is not orgasmic or has pain during sex); anger at partner.
Another possible reason is that you may be losing focus on the sensations and starting to worry more about performance (or staying hard now). When you do this, start to 'watch' yourself & how you are 'doing', you block your sexual response and are likely to loose your erection. The best way to address this is to take time to refocus on the sensations in your penis/body during sex/stimulation and just going with the flow.
Psychological factors like this essentially block the normal working of the sexual response and can be addressed through individual or couple work with an experienced professional.
You could also consider one of the modern medications available, which would require going to a doctor to get a prescription.
If you need more help you should contact the SASHA (South African Sexual Health Association) helpline Tel -0860 100 262 for referral.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
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