instruction: hello doctor I am a married guy of years old for the past two to three years I am facing problem to get a proper erection at my teenage I did masturbate frequently somehow I lost flexibility and elasticity of the penis and loosen skin at age 28 I was affected by depression and I take medicine sizodon is risperidone and trihexyphenidyl and econ 5 clonazepam but now I stopped this medicine for about one year I have already consulted a doctor and he asked me to get some tests done he advised me to take nano leo total sachet twice a day in milk for a month he also advised me to do regular exercise and after month I found some light difference in erection but mild erection results are not satisfied but still I am not getting a triggering effect like I was having at my younger age in my teenage erection used to happen even by thought but now I am not getting a proper erection after struggling on the bed with my partner too the duration is very short without proper erection I get discharged when I want to perform I tried lots of ayurveda medicine but not satisfactory please help lab reports attached
output: hello I read your query with keen interest and understand your concerns first of all I like to inform you that masturbation is completely harmless process and not associated with any side effects however depression is one of the common causes of poor erections and it is possible that there is still some effect of it in addition the medication you used for treatment also causes an elevation of prolactin as a side effect the high prolactin in turn causes loss of libido erections sexual desire among other side effects I mean to say that both diseases as well as its treatment is somehow responsible for the loss of erections which are experienced by you for the last two to three years fortunately all the attached blood reports are normal and there is a little to worry in regard to tested blood and urine parameters regarding the management I will request you to get the following blood tests and revert back to me serum testosterone serum prolactin I also take this opportunity to inform you that a typical course of nano leo total arginine and zinc capsules for sexual problem lasts for three months the complete effects are observed after a long time and it will be premature to expect results at the end of one month I look forward to guide you further