instruction: hi doctor I was not sexually active for the last one year but recently I resumed my sexual life I am not able to maintain my erection during sex although I am able to achieve it but it is not that hard I never faced this issue before and was not sure what is causing this problem I am 30 years old please help
output: hello before moving directly to any treatment follow the advice as given below you are indeed developing the signs of ed erectile dysfunction and me premature ejaculation we may need the reports of the following tests to rule out physical causes of erectile dysfunction and premature ejaculation abc complete blood count to ash thyearoid stimulating hormone hba1c glycated hemoglobin serum testosterone serum prolactin to rule out psychological causes please answer my 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 describe in detail about any use of cigarettes tobacco alcohol cannabis or any other substances of abuse please respond to the above questions and send me reports to enable me to make a complete assessment of your condition and advise treatment accordingly depression can cause ed me and masturbation guilt or compulsive masturbation all that you may require is proper consultation and treatment about your sexual problems