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

### input:
I HAVE AN ACUTE PROBLEM IN SEX LIKE I CAN NOT HAVE SEX BECAUSE WHENEVER I GET TO INTERCOURSE  MY PENIS DOES NOT ERRECT PROPERLY AND EJACULATION LASTS FOR 2 MINUTES AND WHEN I WANT TO HAVE SEX SECOND TIME MY PENIS DOES NOT ERRECT AND I CAN NOT STOP NIGHT FALL.

### output:

HelloThanks for query. You have not mentioned your age in your query. The problem of Erectile Dysfunction is due to two factors 1) Either it is psychogenic in nature observed in young population .2) Vasculogenic due to inadequate blood flow to penis This usually affects aged individuals Consult qualified Urologist for clinical assessment and get following basic test done to help establish the cause for your ED 1) Mammogram 2)Blood tests for sugar, Thyroid hormones, Testosterone and prolactin If these results are normal then ED labelled as Psychogenic in nature In majority of young patients the cause for Ed is what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 every day 4) Avoid alcohol and smoking. Taking Sildenafil (Viagra) or Calls as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor. 