Conversation: The conversation between human and AI assistant.
[|Human|] Hi sir, my age is 30 years. I got married recently.when ever I participate in sex with my wife Iam unable to insert my penis.Penis is folding due to weak erection. When compared I used to hav a bigger one when erected in past. Iam also feeling that feelings are also decreasing day by day in me. My weight is 94 kgs and I don t hav diabetes or bp till now. Which doctor should I consult to over come this issue .
[|AI|]  Hello dairy understand your concernErectile function treatment will depend on the causes. Medical causes like: obesity, smoking and alcohol use, problem in the back nerve/neurological disease, low testosterone. Psychiatric cause: performance anxiety/depression, anxiety about partners satisfaction, Marital disharmony if any, ongoing stress at home and at work place(if any), I think it could be due to obesity and performance anxiety as you married recently would like to advice you for health check up and get the following test done to rule out any underlying medical concerns in the first place : Fasting and postprandial blood sugar, lipid profile, serum testosterone level, Ultrasound pelvis and scrotum. If all of those investigation results comes within normal range, then you should go for sexual counselling and psychotherapy by visiting a psychiatristFollowing advises will help you:During sex, you have to give proper time for foreplay before going for penetration. Foreplay should continue even during the intercourse also. Try women on top position. Do regular exercise like running, yoga, keels exercise, breathing exercises. Free communication and mutual understanding with partner will help. Take high protein diet with fresh fruits and green leafy vegetables. Avoid sex when you feeling fatigue and low. Following medicine will help you after complete evaluation:Paroxetine, sildenafil and testosterone shot (for low testosterone) will helpful. Hope this may help noncontact Chat Doctor for further health query Best regards