instruction: hello doctor my partner and I have not had sex for quite a few weeks I have talked to him about it around three times and each time he tells me that he wants sex and wants to have more of it and that he will try to push away the thoughts of the stress he is going through that keep him from getting an erection I can understand but why he cannot I have needs too I am currently taking mono linyah
output: hello libido can be decreased if a person is undergoing stress and can affect sexual performance I would recommend that he should either visit a psychiatrist and take some medicines if his stress is affecting his personal social and occupational life the doctor will place him on some medicines which should help with the stress part in addition to that you can give him some medicines like sildenafil 50 my or tadalafil 10 my to take one hour prior to having sex provided his blood pressure is fine this will help him achieve an erection stress erectile dysfunction secondary to anxiety or stress tadalafil 10 my or sildenafil 50 my one hour prior to sex unto a maximum of twice a week discontinue in case of headache chest pain or dizziness also do an internet search and start doing kegel exercises which will help improve the muscles at the base of the penis and improve the strength of the erection can follow up after one month if needed