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

### input:
dear sir, i am a 39 years old man. unmarried. since the age of 20 years i was practicing masturbation and anal sex. earlier in a day i use masturbation 2-3 times, then slowly it came less, sometimes later 3-4 days only. in the age of 25 years i have seen a liquid (ordinary) comes through my penis whenever i comes in contact with sex. these days it comes more even if i see sexy pictures or i think about the sex. earlier days i had not feel any weakness but during the last 3 years after masturbation i feel more weakness. even if see the sexy photographs and the liquid comes out i feel weekness. i gets pain in my knees, hips (sometimes right sometimes left.). my penis is little bend towards right. now a days i feel pain in my penis too at the time of masturbating. even the sex ambition too less. few days back when i went to have a sex with one of my male partner i could not get erected my penis a long time and before ejaculation i got discharged. i also feel sometimes headache and weakness through my eyes. i smokes about 15 to 20 cigarettes daily. i also feel eaching in my penis and nearby areas sometimes. i never made sex with a female but with male partner only. few years back once a time i get in contact with a female but when i start kiss her and within 1/2 a minute when i came to make a sex with her immediately i got discharged and the same same time i left the girl. now within a period of six months i am going to marry and i am much worried that in this position how can i have a proper sex with my wife. I am feeling a lot of weakness and pain in my this, knees, elbows and foots nowadays. these are some symptoms. hence you are requested to advice me on this condition what i have to do. i am residing in sultanate of oman . So, pls. suggest some medicines to relief from pain and to increase the sexual power.one month back i got my blood sugar level up to 600. then i made it up to 280 during 1 week period by maintaining my diet and some yoga exercises along with some medicine prescribed by the doctor here in oman. And now its in control.i also would like to inform that due to continuous sitting in the shop and our busy schedule we could not get  time for exercises.regards ahmad

### output:

Hello, To reduce masturbation addiction, you can engage in physical exercise, daylong physical activity, engaging in hobbies and leisure time activities. You can even stop sleeping alone and be with someone at home or at room. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. 