Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor,I am 42 yrs old male married for last 12 yrs, i have two kids, my height is 5-6" & weight is 94 kilos, but i am very much depressed with the size of my penis, which is only 3 inches when erected & 2 inches in girth, i allso feel my penis is not strong & i can hardly stay 2 minutes while intercource then there is ejaculation & the most embarrassing part is the sperm is allso very less in quantity, I will really appreciate if you kindly advice me & tell me that wether tere is any medicine which can help me.
[|AI|]  Hello misunderstand your concertize of penis is not important for fertility as you have already two children. Do not think excessive as it causes depression and that is the reason for premature ejaculation. Cause of premature ejaculation : psychological stress, anxiety, relationship issue, obesity, smoking, alcohol, hypertension and diabetes. For exact diagnosis consult the urologist and get the following tests done: blood sugar, health check up, semen analysis, Doppler USG of penile area to exclude medical causes.Meanwhile, take following advice:Avoid stress, talk with your partner to solve the problem, keel exercise, masturbating prior to sex, hold the urine for sometime before urination, use double condoms or condom with endocrine gel, after doctor advice and evaluation you can use sildenafil and paroxetine 30-40 minutes before sex, start exercise like yoga 45 minutes in morning take fruits and anti oxidant like CO Q. Hope this may help you Best regards