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Symptoms:
When I begin cuddling with my gf, most times find it difficult to get hard. I've taken Viagra to correct this and initially, it works wonderfully. After about 5-10 minutes, I begin to sweat heavily from my scalp and feel overheated (seems only from the top of my head). At this point I slowly loose my erection and cannot regain anything. When this happens, I cannot ejaculate whether by her or myself, or the rare times I do, it takes a great deal of effort and never do get my erection back. Once the desire leaves, the sweating stops. I've noticed a shakiness, but have always thought this to be just part of desire and still do. I'm white male, 44 years old. I do get hypoglycemic, but was just tested for diabetes and came out clean. This has been going on for months now and I'm getting scared!

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Have you two been together for a while, or is it a relatively new relationship? It could be something as simple as a case of nerves. It's very common, especially in a new relationship, to not be able to achieve/maintain an erection because you're doubting her interest in you, etc.
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Thanks for the feedback. Yes it is relatively new (4 months). However, this was happening with my old gf (part of the reason we broke up). I've noticed that this situation usually happens during daytime. Later in the evening, the problem lessens or goes away or if I have the AC turned way down (but then, she's cold). Just this morning, we were heavy petting and I got stiff then lost part of it; had pre-cum; testicles aching; but still couldn't orgasm. I've noticed in the middle of the night (after midnight) till about dawn, I am hard most of the time (waking me up in many cases).

Something to add - I was on Wellbutirin for 7 years. When I started looking for answers, I stopped taking the medication about 2 weeks ago. I've been hoping that I'd see a change, but nothing definitive. The sweating seems to have lessened, but it could a placebo effect.

I hate disappointing my lady (who is the most loving partner I've ever known) and myself (I crave sex more than average). I'm getting disparate for answers and solutions and am trying not to panic and become depressed.
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(Disclaimer: I am not a doctor.) When was the last time you had a physical? Given the changes based on the time of day, it could possibly be a circulation problem. In the evening, blood starts circulating more towards your extremities. This is why your feet will start getting warm when you head to bed, and also why it's harder to fall asleep when your feet are cold.

The other thing to try to remember, and I know how difficult it is, is to try not to dwell on the thought of it. The reason I mentioned the original nerves issue is because I went through a period in my early 20's where I could not actually orgasm with a woman, and I had a really hard time maintaining an erection for more than 15 minutes. I was supposed to have been at my sexual peak, and I couldn't get the job done. My confidence plummeted, which then made it even harder to perform the next time around. In the end, it ended up just being a case of nerves. A combination of me growing older and being with a woman who was so accepting finally relaxed me enough to really enjoy myself. And since then, it's all been downhill. But in a good way. :-)

So try your best to relax and not think about it. And, as you're not some dumb 18 year old kid anymore I'm sure you know more than one way to please a lady, so enjoy your options. :-)
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Thanks for the great advice. Next time (this evening) I will try to "free my mind". I've tried before, but when things turn South (forgive the pun), I can't get my mind to disengage. Any recommendations/techniques?

And it's time to change doctors. He said it's probably just stress and to pop a blue pill. Didn't help. Time for a second opinion?

I have no problem pleasing my girl. She's all upset because she feels that I'm not attracted to her and that she can't "do her job". Despite the many, many pleas that it's not her, she still takes it personnal. It's gotten to the point where she's on the verge of leaving and that would simply be devistating. Everything would be perfect if it wasn't for my body not working as it should.

What to do?
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You said you consulted a doctor but have you been to a urologist? And have you done any medical tests to determine the exact nature of your problem? There may be some organical cause (e.g. high blood pressure) that you're not aware of and you need to do some tests. Even if this is 'just in the head', a urologist can prescribe you an effective treatment. Maybe you need to get a second opinion on this.

Viagra is not the only solution. There are other PDE-5 inhibitors (Cialis, Levitra) available. Even though these drugs work in a similar way, reactions to each brand seem to vary a lot. I suggest you ask your doctor about them and decide which one is best for you.

There's also a new ED drug that I really like called VIGAMED (oral phentolamine). VIGAMED is not a PDE-5 inhibitor, it is an entirely new ED treatment. It improves blood flow to the penis via the sympathetic nervous system. You should take it 30 minutes before sex. VIGAMED (formerly known as Vasomax) is not available in the US but it is a licensed ED treatment in South America and you can order it online:

I've been taking a combination of Cialis and VIGAMED and I'm very happy with the results.

Again, consult your doctor before you decide to try VIGAMED, Cialis or any other drug.

I hope this helps. Good luck!

***edited by moderator*** web addresses not allowed
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Stop looking at porn! 

This is not a moral arguement.  And I'm not even suggesting that you stop masterbating.  But my porn addiction was keeping me from having great sex with my new gf, the hottest and most enthusiastic lover I've known.

Check out Gary Wilson's TedTalk in Glasgow in 2006 on Youtube!

Good luck!

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I have the same problem. I start sweating from the scalp and lose all feeling. Did you find any solutions that worked?
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I am here with exact the same problem, sweat from head and then ED problem. Searching for solution for a year now and no luck. it happend from time to time, not allways, viagra helps. Tried doctor and all mesurmentsok, drink 2liters of water, 15minutes gym/day, zytax, zink, but nothing help to resolve the problem.
what helps to eliminate this, any idea what to measure when this happends, or how to resolve the problem?
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Anyone have any luck figuring this out? I have the exact same problem
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