instruction: hello doctor I am 25 years old unmarried I think my penis size is small because of masturbation I have a problem with ed I would like you to suggest medicine for these two problems
output: hello before jumping to any treatment follow the advice as given below you are indeed developing signs of ed erectile dysfunction you also seem to have exaggerated guilt of masturbation understand that 90 of males start masturbation by the age of 14 rest 9 start after 14 so virtually every man masturbates it is a normal male sexual behavior if done in moderation but excess of everything is bad we may need reports of the following tests to rule out the physical causes of erectile dysfunction abc complete blood count to ash thyearoid stimulating hormone hba1c glycated hemoglobin serum testosterone serum prolactin to rule out psychological causes please answer the following questions how is your mood how are your energy levels how is your appetite do you have any sleep disturbances or do you oversleep any past history of anxiety or depression any family members suffering from anxiety or depression please respond and send me the reports to make a complete assessment