Conversation: The conversation between human and AI assistant.
[|Human|] I had a prostate biopsy done last November. Full recovery was pretty fast; took just a few weeks. However, since the procedure, I started to experience some sorts of ED (i.e., lost of sexual desire, lack of full erection, involuntary semen dropping). That seemed to go all away after 6 months. I basically went back to normal. Then I went for a follow up check up with my urologist. He did the routine prostate check (with the finger). That happened about 3 weeks ago; since then I have been experiencing the same ED problems that I had right after the biopsy was performed. I wonder if these problems are still temporary side effects or they are permanent?
[|AI|]  Hi actually prostate is the cause for ED in your case but smoking, Alchohal and diabetes also effect for such situation and Psychological effect also cause ED.1st take good diet, just relax your mind it may be helpful if not than sildenafil 25 mg may start if their in no contraindication like you are taking any nitrate containing medicine angina stroke or peptic ulcer you can start the sildenafil for ED, and some lab test like U and E, LFT,glucose LH and FH, lipids and testosterone required if it remain permeant