Conversation: The conversation between human and AI assistant.
[|Human|] Hi iam a40 years old married man from last month I am sufferig from penis erection diorder during sex with my wife and now iam unable to full fill her desire I have the excitement of doing sex with her she ecourages me but i fail plz guide me with proper treat ment.
[|AI|]  Hello misunderstand your concerns think you have erectile dysfunction. Three are various causes of it, so you have to find out the cause of it. Causes are: excessive stress, smoking, alcohol, diabetes, obesity, prostate pathology hormonal imbalance (decreased testosterone), psychological stress, anxiety, hypertension. For better diagnosis please consult the urologist and get the proper investigation like: blood sugar, CBC, ESR, PSA, Color Doppler, health check up, hormonal profile, seminal test after evaluation.Meanwhile, take following advice: start relaxation exercise, healthy diet and fresh fruits that rich in antioxidant (vitamin A, C, E and Co Q), more involvement in foreplay, use more than two condoms, pelvic exercise, you can use sildenafil and paroxetine 30 minutes before sex after proper evaluation. Hope this may help you Best regards