<human>: hello doc, i m 41yr old and i ve be having stamina issues and getting hard for my girlfriend its happing. she s very pretty and really turns me on, i ve none her for a year and my heart rate incresses whenever we start intercorse. what can i do to keep my erection
<bot>: Hello misunderstand your concerns think you have fatigue and anxiety that cause erectile dysfunction. Following are the other cause of your problem: obesity, smoking, alcohol, psycho social stress, hypertension, diabetes, prostate pathology. You have to consult the urologist for exact diagnosis after following investigation: blood sugar, health check up, He, CBC, PSA color Doppler USG.Meanwhile, take following advice: start exercise that increase your stamina, take healthy diet and fruits, anti oxidant like vitamin A, C, E and co Q, talk about your problem to your partner and get relax, engage more in foreplay before intercourse, keels exercise, hold urine for sometime before urination, try comfortable position for sex like partner on top, you can also take sildenafil plus paroxetine 30 minute before sex after evaluation, use double condom. Hope this may help you Best regards