Conversation: The conversation between human and AI assistant.
[|Human|] I am a 27 year old healthy male.  I have a good blood pressure, good heart rate, and I live a very active life. Here is my problem..... I have trouble getting/ keeping an erection.  When i do, it is never fully erect and ejaculation actually hurts. I have tried those crazy OTC drugs and nothing seems to work....I had no problem a few years ago getting or keeping on at any time but within the last year it has progressively gotten worse.....there have been no real changes in my lifestyle or life.....any suggestions?
[|AI|]  Hi you have acquired erectile dysfunction.... Following risk factors ruled out ...../smoking / alcohol/heart problems / obesity - lose weight for that /hypertension - blood pressure checked for it/stress - avoid it if present /prostate problem - per rectal examination and PSA helpful / serum testosterone and prolactin /diabetics - for that RBS estimation done Meanwhile take healthy and balanced diet with more fruits .... Sildenafil useful for erectile dysfunction... Self intrurethral injection of alprostadil also useful.... Consult psychiatrist or sexologist with keeping this in mind. Take care