instruction: hello doctor I am 40 years old my sexual life was good but due to hysterotomy performed on my wife due to fetus complication I am not able to have sex with her till date in the event of this I have been masturbating three to four times a week to relieve my urge for sexual excitement however lately I have noticed that while masturbating my erections are not that rock hard like a couple of months back and even the force by which I used to ejaculate has drastically reduced and my sperm does not come out in force but just dribbles out of my penis on orgasm I have no sort of medical problem or diseases and lead a normal diet without any medicines my wife gynecologist had once prescribed coq la and fertisure medicines for me however I need your advice as to which medicines I should take and the dosage to overcome my problem and even get ready to make my wife conceive naturally
output: hi welcome to iclinq com I can understand your concern as such nothing much to worry about erections may not be the same every time these would settle down as you enter your sexual life again generally the following hysterotomy sex life can be started after six months but here the main thing is the psychological part the women is going through spend value time with your wife which would help her get back to her old sex life if you are worried about your fertility profile get a semen analysis done and look for the concentration and motility of sperms and also get a random blood sugar done the very fact that your wife has conceived spontaneously rules out both male and female factors of infertility so just relax the possibility of erectile dysfunction with your complaints is less considering past history have a trying time for to months if pregnancy is delayed then consult a fertility specialist I hope this helps psychological semen analysis ribs random blood sugar psychological reassurance increase the value time for each other