### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I had ED suddenly in November 2013 (writing this in June 2014). Since then morning erections have also gradually gone down to almost none or very weak. The size of the penis has also shrunk. I ve recently read about Peyronie s disease. Though there s no curve, and no hourglass shape when erect. When flaccid, very rarely the hourglass shape is slightly visible. I had an excruciating lower back pain which led to sciatica like pain in the buttocks and down, and it troubled me for quite some time -- at the moment it s relieved because i have been taking some homeopatChatDoctoredicine since last 3 months. We have no history of diabetes, heart trouble in the family on both maternal and paternal sides. I m 35 right now, 5 8 , and weigh about 73kg. I was once married and had a daughter but now divorced since 6 years. Will really appreciate any help. Thanks

### output:

When I have any patient with symptoms what you have given I will check whether the patient have complained of radiating pain from back to legs along with numbness or tingling sensation or not. If yes then it shows me there is a problem at lumbar spine level. This could be lumbar disc issue with loss of normal lumbar curve. However, the conformation will be done only by MRI scan. When there is no radiating pain to legs and no symptoms like numbness or tingling then the problem could be only as back muscle weakness or very mild issue at spinal level. Here the conservative treatment will be with few of pain relieving medication along with muscle relaxants as suggested by your orthopedic doctor and also take physiotherapy treatment along with do spinal exercise to strengthen the spinal muscles. For major damage showing report in MRI spine, orthopedic surgeon will suggest for surgical option. You can discuss details with him. I am sure you will be fine if you follow step-by-step process as given above. Take care.