Erectile Dysfunction Linked to Diabetes

I am a 27-year-old married man. I have tried having sex with my wife in the top position. Subsequently, I experienced pain in left testes. Is this normal in this type of sexual position? Should I consult a doctor.

Yes, you need to consult a doctor in person. Probably, during the up and down coital movements (in the female on top position) your wife’s buttocks may be hitting your testes and this might be causing the pain.

I am 47 years old. I am diabetic. I have a problem getting an erection and also suffer from premature ejaculation. This is depressing me as I cannot enjoy sex. Please suggest a solution.

There is no need for you to get depressed, as both your complaints can be managed satisfactorily. One of the complications of longstanding and inadequately controlled diabetes is Endothelial Dysfunction. This means that the inner lining of the blood vessels, known as endothelium, gets damaged and does not function properly. This results in reduced blood flow through those blood vessels. If the penile blood vessels are affected, the penis will get less blood flow and hence erection is adversely affected. Though the precise cause(s) of premature ejaculation is not known it has been observed that diabetes is associated with it. Both these conditions can be managed through a combination of pharmacotherapy (treatment with medicines) and sex therapy. Consult your doctor in person.

The writer is a sexologist. Mail him at dr.narayana@deccanmail.com