Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am 51 year old man and it takes longer to get an erection. last shorter, and when I ejaculate, it is less intense and less semen flow than a year or two ago. Also, when I get ready to ejaculate, my anus and left testicle tightens up with some discomfort like a strain or muscle spasm. Is this a potential prostrate problem or something else?
[|AI|]  Hello, Yes, you are right. As in case of benign hypertrophy of prostate, for example, BPH (Benign Prostate Hypertrophy) which cause retrograde ejaculation, so low semen content. The causes for erectile dysfunction are psychological, stress, fatigue, diabetes or other chronic illness. The treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert. Hope I have answered your query. Let me know if I can assist you further.