instruction: hi doctor I have ed my penis does not erect whenever I tried to have sex with my wife it goes down in less than a minute I feel really bad please help me out regarding this
output: hi I read your query and understand your concerns before we can make any conclusions I request you to provide the following details so an impression can be made about the cause of the problem how long are you facing this problem how the problem started whether it was sudden in onset or build up slowly over the months or years what is the frequency of the problem in a week or month are you able to have some successful sexual intercourse in a typical month out of what number of sexual interactions or masturbation do not achieve success what are the factors that increase the problem what are the factors that relieve the problem such as thoughts situations partner place etc do you get an early morning erection if yes how frequently and how intense is your partner very critical and demands sex more than what can you think does she feel superior to you or bothers you in some other regards what is the effect on your relationship so far due to this problem please share the details of previous or other medical illnesses like duration any complications treatment received to date medications you are receiving currently if any including ayurvedic homeopathic or any other medication you received in past and their effect do you have any psychiatric illnesses like anxiety depression fear etc what are the investigations done to date and reports of latest investigations such as serum testosterone ash to and any other I must assure you that once we identify cause it will be easy to correct it I look forward to seeing more details thanks and regards