instruction: hello doctor I am 30 years old I am a healthy individual with no signs of be or heart issues I have done a healthy heart screening where they checked heart plus blood flow in legs lipid profile liver function test vitamin and everything is normal my morning erections frequency is fine not every morning I get it sometimes during afternoon sleep I have a phimosis issue recently last three attempts I had an issue with erections and unable to maintain it I am worried and piling up stress another issue is ejaculation I feel I have delayed ejaculation as I am not able to ejaculate when I masturbate I can ejaculate in the normal interval I am not able to understand if phimosis causing delayed ejaculation and ed issue apart from the last three instances I had this issue for a few months and then it resolved I got erections for the next 10 12 sexual instances in addition I do not have diabetes I used to masturbate a lot by watching porn kind of addicted a few years ago then the frequency reduced as I became more mature I am worried if this is the reason for ed when I start sex all my attention goes to whether I am getting erections or not I eat a healthy diet and do cardio three times a week please guide
output: hi I have gone through your query and find that you are physically active and healthy you have phimosis but that is not causing you much problem for the last few occasions you have erection problems and delayed ejaculation it can occur because of many issues including the stress or performance or time hurry once you had one episode of ed erectile dysfunction or delayed ejaculation it can cause you anxiety and that can lead to ed for the next sexual activity if the issue is not affecting you regularly or at least 50 percent of your sexual activity then it is not required any medical treatment just continue your cardio workout and take healthy food and take adequate sleep