Conversation: The conversation between human and AI assistant.
[|Human|] Hi, may I answer your health queries right now ?  Please type your query here... Im 25 yrs old ,height is maybe  1.76,weight maybe 75 kg, i have sex problem i sperm quickly mi erection is not strong is been 6 yrs maybe i dont know what to do anymore i have been circumcised last year and i think is wess know pls help me.
[|AI|]  Dear user, Thanks for writing to Chat Doctor. I understand your concern for early ejaculations and insufficient erections for last six years. Circumcision usually does not have adverse effect on erection or ejaculation. For premature ejaculations, when clients approach me, I recommend them a behavior exercise called start-stop technique. The man starts masturbation and stops just prior to orgasmic inevitability. He allows arousal level to decline and re-stimulates. One should continue this start-stop sequence for about 15 minutes. This is how you can gain ejaculatory control gradually. There are medications like Paroxetine20 mg or Duloxetine 30 mg with Sildenafil 50 mg which helps to delay orgasm with improving erectile function. These medicines must be taken under medical supervision. Female on top position with active role during coitus helps one to delay climax. One can lead the partner to orgasm by stimulating other erogenous zones rather than vaginal containment only. I recommend you to consult psychiatrist trained in psychosexual medicine, who will guide you how to utilize all these techniques effectively best suited for you. Wish you good health.