instruction: hello doctor I have ed problems for about a year I am years old healthy active no other physical health problems a possible reason for this is I had a bad case of blue balls on a night and was not resolved until the next morning I believe this may have affected my veins in my testicles my ed may be mentally too like libido but I do not think that as much as a physical problem with blood flow please help I did a test with that gel stuff on testicles and ray type thing and they said nothing wrong
output: hello I would like to know a few information about your general health is ed present all the time or noticing association with anything particular do you take any medications in general or anything for ed the most common cause for ed in your age is psychological any undue stress in life any family history of medical problems diabetes cholesterol etc do you have a partner any change in partner recently any relevance you notice either this also I am not very sure what blue balls exactly describe but seeing that you have had an ultrasound of scrotum I think it is unrelated to ed scrotal scans are not relevant for ed so need more information on how and why you had this stress psychological check fasting lipids glucose thyearoid and testosterone levels also need the reports of scans consultation reports already done varicocele incidental not a cause for present complaint anorgasmia dysejaculation all these are far less likely ed erectile dysfunction ensure no stress take help if needed reassure that ed due to pathological cause at this age is unheard of try a dose of drugs like viagra purely to see responset it is not recommended as long term until we have further information relaxation techniques avoid stress reassure positively highly recommend to take proper urological consultation to work up properly either locally or online