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11 Oct 2009

ED
I am sure you have answered this question 1000 times. The responses I have found are all good, but just a bit short of what I am looking for.

I am a 54 year old white male, married for 25 years. I was overweight with hypertension, and on Almoc / Ziak / Prexum. I have lost most of my excess weight (About 30 kgs over 12 months), and now only on Ziak 2,5 g and Amloc 2,5 mg. Blood pressure down to 120/80. Doctor is considering taking me off last of the BP tablets.

About 2 year ago I started with ED problems on occasion. The doc put me on 50mg Viagra. Once I lost weight I needed the Viagra less and less and went 6 months with no problems, having sex two to three times a week. When problems reoccur I go back on 25mg Viagra until my confidence is back, and then no longer use the tablets.

The problem, when it happens is most frustrating for myself, but especially for my wife. I normally have strong erections and strong orgasms. When the problem reoccurs, there is normally no problem getting an erection –  especially during foreplay. The problem will suddenly present itself about 20 to 30 seconds after penetration. This is also normally after becoming very wet during foreplay.

The sudden losing of the erection seems to me to be caused by one of two things. The first is I sometimes think of the importance or orgasm for myself to please my wife who would normally have an orgasm at the same time. As I think of this –  I loose the erection. I assume this is “ performance anxiety.”  ? It is no good saying –  do not think of it, because that just puts on more pressure. It is also no good to say try have sex without the goal being to have orgasm. I doubt my wife would feel comfortable knowing from the start that it was planned to end without orgasm.

The second sensation that I sometimes feel is when I am very wet when penetrating. Suddenly the erection is lost. It almost feels like I have ejaculated without having an orgasm. Again very frustrating. Is this a form of premature ejaculation ?

In both cases, if I have taken Viagra beforehand, it is normally possible to achieve an erection again about 30 minutes later –  and finish the job. As you can imagine my wife is not very impressed with doing this- but t is better than leaving both of us very frustrated.

A couple of questions

a) What can you recommend generally ?

b) Is either of the blood pressure tablets having any effect on the ED ?

c) Should I talk further with my doctor, or should I ask him to refer me to a urologist ?

d) Am I suffering from Performance anxiety ?

e) If so –  what recommendation are there for performance anxiety ?

f) Am I suffering from Premature Ejaculation ?

g) Is there any medication that can be taken in conjunction with the Viagra to solve the Premature Ejaculation ?

h) Is being on Viagra at 54 normal ?

Help would really be appreciated, as it is driving myself and my wife crazy
Answer 828 views
Expert
Ageing and Sexuality expert
Ageing and Sexuality expert

01 Jan 0001

Generally I recommend you visit a urologist. There is always need for further investigation once a man presents with a sexual change/symptom. Of course you have performance anxiety (PA) but that is a secondary result of your ED. And with no disrespect to your wife, her vocal frustration is adding to your PA.
You need a full medical examination- yes your blood pressure meds do interfere with erections but if it is under control, as your is, then this will not be primary cause of ED.
You need your sex hormones checked - blood tests- you need your thyroid checked as well as prostate exam done. It sounds as if you have lost control of your ejaculatary ability. You just don't know when its happening. These tests will give you some answers to this.
Taking Viagra is very safe once your doctor has proved you a good candidate for this drug.
Once you know if there is or is not an underlying pathology, your urologist can go ahead and treat your ED. Right now stop all penetration and find other wonderful ways of playing with each other. This will provide you both needed relief from PA.
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 examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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