Conversation: The conversation between human and AI assistant.
[|Human|] Hello Im a male 44 years old and I have pains on my left side of my penis when I have sex. And I use to take a 10 milligrams of cialisis and now it takes longer to harden my health is good. I Not fat. I take one a week so I can explore sex more with my wife but not Im nervous could I have a cogged arterie?
[|AI|]  Hello I share your concern This pain might be caused by dialysis (tadalafil) or injury due to lack of lubricationCialisis increases blood flow to penis and makes it hard, sometimes it may cause pain in penis due to vasodilation of veins in penis shaft and corporal. In my opinion you should use lubricants during sex to avoid injury caused by friction can take ibuprofen for pain in penis if it is unbearable or reduce the dose of dialysis. Hope this answers your question, and you will find my response informative and helpful. Please feel free to ask for more queries. Wishing you good healthRegards