Conversation: The conversation between human and AI assistant.
[|Human|] I am a 53 male in excellent health. I am a runner currently training for a marathon. I have yearly check ups with everything always normal. i have had lower back issues for many years with a partial discectomy of S1 in 1997. Recently I have noticed my erections are not as strong and in fact will lose the erection during intercourse and even during foreplay. Its very frustrating for myself and of course my wife. I do have some back pain but nothing so bad I need Advil or painful running. I do take vitamins and an OTC acid reducer. Is it possible my LBP is causing the problem?
[|AI|]  Thanks for contacting Chat Doctor. I am sorry to hear that you are having erectile dysfunction. From the description of your symptoms it does not sound like your back pain is the cause of your pain. It is possible that you may have low testosterone problems. Sometimes in men that are very healthy and thin that their hormone levels of testosterone are low and need replacement. I recommend that you go to your doctor and have them check you testosterone levels. Another cause is just getting older and having erectile problems. This is common and not usually associated with any disease. Though stress can play a part in ED. I recommend meditation and relaxation exercises. When engaging in sex that you both take your time and don't rush. Also, if you Chat Doctor.