ERECTILE DYSFUNCTION

Hi. I'm 24 years old medical student. My problem starts 2.5 years ago when I was going to have sex with my girlfriend for the first time.I didn't have sex with anyone else before. Then when I supposed to I didn't got erection. The second time when we try the same thing happen again.Sometime I achieve erection but when the time comes to put condom the erection is rapidly gone.I start having problems with my sleep,with my studying,with my libido(it went down) e.t.c. When I know that we wouldn't going to have sex,my erection and ejaculation are OK.I went on psychiatrist and endocrinologist.My levels of testosterone and prolacine are OK(testosteron 14.32nmol/L,prolactin 11.85ng/ml).My morning erection is OK.So my problem is only psychological.First my psychiatric prescribe me venlafaxine XR 75mg 1x1 and diazepam 5mg 2x1 for two weeks.After this tretman I stop having problem sliping and my mood was better but my libido went zero.Then he prescribe me  lorazepam 1mg 1x1 but after one month the problem is still here.My libido is still low (I mastrubate once a week) and a still can't get erection for sex.PLEASE HELP

[Stephen Liroff, MD]

I think that a sex therapist (if your psychiatrist is not one) would be your best option for professional help. It may be helpful for your sexual partner (if the two of you are comfortable with this) to be involved, also. The use of, and choice of medication is certainly one that your therapist is in the best position to decide.
It sounds as though your problem will not be cured quickly and I would  urge you to not panic and try to set reasonable expectations for yourself.
You might resubmit your question to Dr.Epp in the sexuality and Relationship forum to hear another opinion.
S.A. Liroff, M.D.

[muzzer]

That happened to me a couple of times in my 20's, both times with the same girl. She was a domineering control freak, which I knew but so what, I just wanted sex.  When she got on top, it worked.  I think you might be putting too much pressure on yourself to perform. Let her do some or all of the work. Just have fun. Have sex without intercourse. Give each other an erotic massage. If she doesnt understand, maybe she's not the right one. Just sayin'.