Unable to perform intercourse

Dear All,
Please find the filled New Intake form filled by me;
Kindly help me.

New Homeopathy Patient Intake Form:
Gender: Male
Age: 30
Body Type: Average
Height: 5' 7'
Weight: 71
General appearance:
Have you used homeopathic medicines before? If so what, and what homeopathic potencies did you use?
Mostly used Aconite,Nux Vomica,Lycopodium,Arnica in potencies 30 or 200 for common ailments like cold,fever,constipation etc.
Also we keep using biochemic remedies- Ferr phos, Kali Mur, Nat Mur etc.


Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?
Not able to perform Intercourse ; not even able to penetrate into my wife

2. What other physical sufferings do you have in your body?
I have not experienced any other physical suffering & am healthy generally

3. What mental sufferings / feelings do you have associated with your physical sufferings?
Anxious & tensed, lack confidence to perform, feel lazy to put effort(lose interest in sex) & feel sleepy

4. What exactly do you feel when you are at your worst? Describe the sensation in your own words.
Feel inferior,think of other couples and feel sad about myself

5. When did it all start? Can you connect it to any past event or disease?
I have addicted to Masturbation from the age of 8. I am not able to give up it and I feel relaxed & satisfied by that.
I am suspecting whether it is the cause of my current problem

6. Which time of the day you are worst?
Mental symptoms of sadness,lack of confidence occur mostly in night b/w 7 to 10 p.m

7. What are the things which aggravate your suffering and which are those which ameliorate the same? Example- time, temperature, pressure, rubbing, washing, eating, tight clothing etc.
I feel tired after I come home from work; Having tasty food prepared by my mom & sleeping(lying on bed) ameliorates me.

8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?
No

9. When do you feel better, during hot weather or cold weather, humid or dry weather?
I feel better in dry weather,not so hot

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
Mild, Moody,Agreeable,Changeable,Nervous,Quiet,Lazy (for sex)

- How do you feel before or during a thunderstorm?
Scared of thunder/lightning & feel to be safe inside home during thunderstorm

- Do you like being consoled during your tough times?
Yes
- Are you sensitive to external stimuli like smell, noise, light etc?
Yes; worse by noise and don't like light in the room while go for bed

- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc?
Sometimes talking to myself when alone,keep pull moustache when at work

- How do you feel about your friends, family, your children and especially your husband / wife?
Very fond of parents and brother; Feel bit uncomfortable about my wife due to her different life style

11. What are your fears and do you dream of any situation repeatedly?
I dream of riots, people creating terror etc rarely and get scared at that moment

12. What do you crave for in food items and what are your aversions?
Crave for any homely veg food items like Dosa,Idli,fried items etc; Aversion to outside junk food

13. How is your thirst: Less, Normal or Excessive?
Thirhst is normal

14. How is your hunger: Less, Normal or Excessive?
Hunger is normal

15. Is there any kind of food which your body can’t stand?
Very spicy, acrid food causes digestive problem & sometimes in bleeding piles.

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
Sweat is normal ; but sweat more in the feet when I wear tight shoes

17. How is your bowel movement and stool type?
Normal bowel movement during week days if I go at early morning; But during weekends, I get up late & feel lazy to pass bowels sometimes;
Sometimes I suffer from constipation & no bowels only; Stool is yellow solid (normal colour)

18. How well do you sleep? Do you have a particular posture of sleeping?
I get ameliorated by sleep & crave for sleep; I usually sleepin normal position

19. Do you think you are able to satisfy your sexual desires in general?
Yes; but I am lacking confidence as I am not able to penetrate ; my wife is still a virgin even after 2 months of our marriage

20. Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others?
I am very shy, reserved person, not much talkative; My wife complains I won't take her to dine out or movie etc & I won't feel jolly like other couples;
I am a causious spender & always think of saving money; I feel my wife spends a lot unnecessarily.

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
I haven't taken any medication regarding this problem

22. What major diseases are running in your family?
Father is healthy, Mother is anaemic and have high blood pressure (rarely)

23. Describe, how do you look like? Describe your overall appearance.
Look average, fair complexion, very silent & gentle

24. If your menstrual cycles are not normal, please describe the irregularities, like pains, moods, flow type, clots etc.
My wife's menstrual cycle is normal; But I feel her vagina is too tight to penetrate

25. What major diseases have you had in your life and when. Please write them in a chronological manner.
My wife is suffering from lack of appetite problem; also she has migrane and gets stamoch ache often