I'm going to guess you're circumcised. The glans ("head") undergoes a loss of sensation through the years in circumcised men, some more than others, I suppose. If I were you, I'd carry a little tube of Vaseline or solid cocoa butter with me. After you shower and after each time you pee throughout the day, coat the head really well. (Don't get it IN your urethra.) Also coat the inner foreskin, if you have any. You may be able to soften the keratinization that has occurred and recover some sensation over a period of time. Probably several weeks, at least. I'd avoid the rubbing alcohol. That will have a temporary but very drying effect and sounds painful to me!! BTW, the head is not the most sensitive part of the penis, in many men (me included). The frenulum and just behind the head on the undersurface is more sensitive. Hope this helps. Good luck. EugenioView Thread
A couple of thoughts about your post: The effect of the daily patch might take a little longer than a month to be noticed; maybe 2 months. Also, at the height and weight you mentioned, you're probably about 40 or 50 pounds overweight. That alone might account for the low sex drive and the low testosterone, to some extent. Overweight also contributes to depression, as well as to high blood pressure. Some of the blood pressure medicines contribute to low sex drive and ED as well. You might need to focus on the weight issue and some of your symptoms will begin to correct themselves.View Thread
The need for Cialis at your age is pretty unusual. I don't know what else is going on in your life or with your health. Assuming your doc did some labwork, probably including a testosterone level, you might need some sort of counseling. Can you ask about that? There are legitimate sex therapists who might be able to help.View Thread
What do you do for sexual release while you're away from your wife? There may be a clue there. I can imagine a lot of pressure to "perform" when the opportunity for sex with your wife is so infrequent. Under the circumstances, ED is understandable. You don't mention your age or any other health conditions. ED can also be a symptom of other health problems, stress, exhaustion, etc. You might need a general health check up by your doc.View Thread
The side effects of porn are exactly what you're experiencing, PE and ED when you're with a real woman. Also, once you've had the experience of not being able to get hard, it tends to happen again and again, because you're so psyched out about it. Realize it's normal occasionally, sometimes even for young guys. You might just need to get a physical exam and/or take better care of yourself. Are you a smoker? Drinker? Use any other drugs? Stressed out or exhausted? All those can have an effect as well. If you're not getting your rest, exercising, and eating well, you're more likely to have trouble in bed.View Thread
Sounds like you're more conditioned to respond to porn images and masturbation than to intercourse, which happens to a lot of guys (and is the main problem with porn, in my opinion). Anyway, I don't think you need medicine or a vacuum device. If you're planning a baby, you can forget the condoms, at least while you're trying to conceive and during the pregnancy. If you're not quite ready to conceive yet, have your wife put the condom on you, and encourage her whatever way you can, to be more actively involved. Try to break away from the porn if you can. If you have a lot of stress in your life, try to reduce it; get plenty of rest, exercise, and healthy food. If you need a general check up, call your doc. Sometimes ED is just a symptom of being physically run down.View Thread
What you describe is edema, which uncircumcised guys get when the foreskin is tight and has been retracted for a long period of time. Yes, it will go away. You might help it resolve faster if you sit in a tub of hot water (don't burn yourself) for a while. Remember to pull that foreskin forward over the head (glans) after you masturbate, if it doesn't go forward by itself. That edema (swelling) can get really bad if a guy has a tight foreskin and doesn't put it back in forward position, and it can become a medical emergency.View Thread
In general, inability to get an erection is a physical issue, whereas losing an erection during sex is most often stress-related or psychological. I think you identified at least three issues in your post: fatigue, poor nutrition and stress. Failure to "perform" once it has happened, often recurs, just because a guy gets so psyched out. Yes, it would be unusual for someone your age to have testosterone deficiency, but that is not to say you might not benefit from a general physical exam anyway (including blood tests).View Thread
3 to 7 minutes is damn good, my friend, although you might not believe it if you pay attention to locker room bragging or believe porn is real. Having said that, the definition of PE is ejaculating before you or your partner wants it. If that's the case, I recommend you focus on other ways to please your woman. There are many that don't involve a penis at all. BTW, 4.5 to 5 inches is NOT abnormal. OK, it's on the small side of average, but it is totally NORMAL. I'm not much longer than you and there are plenty of guys around like us. From what you posted, you don't need medicine OR a doctor. Medicines that delay ejaculation have side effects you might not enjoy. So be confident, take care of your health, get (or stay) physically fit and avoid porn. One other bit of good news is that PE becomes less of a problem as you get into your 40s and beyond. Something to look forward to ; ). Good luck, bud. EugenioView Thread
I'm not sure I qualify as an expert, but both of the problems (aching testicles after a period of high sexual arousal) and premature ejaculation are problems that almost all men experience. Neither one are serious in terms of your longterm health, neither are signs of testicular cancer.
Aching balls are a consequence of blood congestion in the testicles and scrotal structures that happens during high arousal. When there hasn't been relief (via orgasm) it is an uncomfortable, heavy sensation that can be painful, as you describe. Usually masturbation to orgasm will provide relief when having sex isn't possible. Admittedly, masturbation is a poor substitute for sex, but physiologically it should help. If not, I'd recommend wearing compression shorts for at least 24 hours and take Ibuprofen for pain relief. Premature ejaculation is more difficult to resolve. Masturbation orgasms are strong, because you are totally in control of all the movements to maximize pleasureable sensations, etc. I'd recommend masturbating with a very loose grip, so that it takes a long time to orgasm. Gradually that will re-train the pleasure centers of your brain to enjoy going slower, and sexual intercourse will be more pleasureable for your wife. If you use pornography to masturbate with, I recommend avoiding that as it is the kiss of death to a good, strong sex life with a spouse (that's a separate discussion).
You don't have to see a doctor to learn how to do testicular self-exam every month. There are resources on-line that are very good. Of course, if you find some testicular change that is suspicious, you would need to go to a doctor.
Good luck. You sound like a pretty normal, healthy 33 year old man.