May I ask the doctor?
Doctor, I have a question.
Recently, I had sex with my girlfriend for the first time.
Normally, I have no issues with erections during masturbation, but when I was with my girlfriend, I didn't have any response.
Even when I did get an erection, I lost it when it came time to put on a condom.
What could be the problem? Is it a psychological issue?
A Cheng, 10~19 year old female. Ask Date: 2005/03/07
Dr. Zhuang Yihui reply Traditional Chinese Medicine
Hello A-Cheng: Due to Director Chuang's busy schedule, Dr.
Wu Hsuan-Chang is responding on his behalf.
It is a normal physiological response for the genitalia to become erect during sexual activity or masturbation.
Your concerns may stem from anxiety or worry associated with engaging in sexual activity for the first time.
Since you are still young, it is advisable to focus more on your studies or other beneficial recreational activities for your physical and mental well-being.
If you choose to engage in sexual activity, please ensure that you take appropriate contraceptive measures.
I hope my response meets your satisfaction.
Sincerely,
Dr.
Wu Hsuan-Chang
Attending Physician, Department of Traditional Chinese Medicine
Hualien Hospital, Ministry of Health and Welfare
Reply Date: 2005/03/07
More Info
Experiencing erectile issues during your first sexual encounter is more common than you might think, and it can be attributed to a variety of factors, both psychological and physiological. Let's delve into the potential reasons behind this phenomenon and how to address it.
Firstly, it's important to understand that sexual arousal and performance can be significantly influenced by psychological factors. Anxiety, nervousness, and pressure to perform can create a mental block that affects your ability to maintain an erection. This is particularly true during your first sexual experience, where the stakes feel higher, and the fear of judgment or failure can be overwhelming. The anticipation of intimacy, combined with the fear of not meeting expectations, can lead to performance anxiety, which may result in erectile difficulties.
In your case, you mentioned that you typically have no issues with erections during masturbation. This indicates that your body is capable of achieving and maintaining an erection under normal circumstances. However, the presence of a partner and the newness of the situation can introduce stressors that disrupt this process. It's essential to recognize that this is a common experience for many men, especially during their first sexual encounters.
Additionally, the act of putting on a condom can also contribute to erectile issues. For some men, the physical sensation of putting on a condom can create a disconnect between arousal and physical response. The added pressure of ensuring that the condom is applied correctly can further exacerbate anxiety, leading to a loss of erection. It's crucial to communicate openly with your partner about these feelings, as this can help alleviate some of the pressure you may be feeling.
To address these issues, consider the following strategies:
1. Relaxation Techniques: Before engaging in sexual activity, practice relaxation techniques such as deep breathing or mindfulness. This can help reduce anxiety and create a more comfortable environment for both you and your partner.
2. Communication: Openly discuss your feelings and concerns with your partner. This can help create a supportive atmosphere where both of you feel comfortable exploring intimacy without the pressure of performance.
3. Take Your Time: Focus on foreplay and building intimacy without the immediate goal of penetration. This can help reduce anxiety and allow you to enjoy the experience without the pressure of performance.
4. Gradual Exposure: If the act of putting on a condom is causing anxiety, consider practicing with your partner in a non-pressured setting. This can help desensitize the experience and make it feel more natural.
5. Seek Professional Help: If erectile issues persist, consider consulting a healthcare professional or a therapist specializing in sexual health. They can provide personalized guidance and support to address any underlying concerns.
6. Avoid Substance Use: Alcohol and recreational drugs can impair sexual performance. If you consume these substances, be mindful of their potential effects on your body and mind.
In conclusion, experiencing erectile issues during your first sexual encounter is not uncommon and can often be attributed to psychological factors such as anxiety and pressure. By practicing relaxation techniques, communicating openly with your partner, and taking your time, you can create a more comfortable environment that fosters intimacy and reduces performance anxiety. If these issues persist, seeking professional help can provide additional support and guidance. Remember, sexual experiences are about connection and exploration, and it's perfectly normal to navigate challenges along the way.
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