Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am a 27 year old male who has recently having trouble keeping an erection during sex. I recently had a spinal fusion of L5 S1 and am wondering if this could be the problem. I have no other medical conditions but do take colotopin for anxiety.I do smoke about a pack of cigarettes a day. I want to find out the possibile causes as this is really putting a strain on my relationship. It is happening a few times a week now and i don t know what to do
[|AI|]  Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It seems that your problem is combined problem. Problem is because of spinal fusion, stress, smoking. You can take the sildenafile citrate under your doctors' guidance. You can watch the porn movies before you perform. This will help you in better performance. Try different positions every time. This will give you thrill about the sex life and performance.Foreplay is very important in the reaction and better performance. I advise you should leave the stress. Stop the smoking. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.