Since you have mild coronary artery disease (CAD) and are on nicorandil and beta-blocker (Metoprolol), you should not take Viagra (Sildenafil) without consulting your cardiologist.

Sildenafil can lower blood pressure and may interact with nicorandil, potentially causing dangerous drops in BP. Also, considering your vasovagal episode post-angiography, extra caution is needed.

✔️ Please consult your cardiologist before using Sildenafil
✔️ A supervised cardiac stress test may be advised to assess fitness for sexual activity
✔️ Alternatives or safer options may be recommended depending on your heart status

Do not self-medicate in this case.

আপনার সমস্যাটি দ্রুত বীর্যপাত (Premature Ejaculation) হিসেবে পরিচিত, এবং এটি খুব সাধারণ একটি সমস্যা। দুশ্চিন্তা, মানসিক চাপ, অথবা অতিরিক্ত উত্তেজনা এর কারণ হতে পারে। সমাধানের জন্য কিছু কার্যকর পদ্ধতি হলো:

নিয়মিত পেলভিক এক্সারসাইজ (Kegel Exercise)

যৌন উত্তেজনা নিয়ন্ত্রণের কৌশল (যেমন স্টার্ট-স্টপ বা স্কুইজ টেকনিক)

মানসিক চাপ কমানো ও ভালো ঘুম

প্রয়োজনে অল্প ডোজে কিছু ওষুধ (যেমন Dapoxetine) — তবে চিকিৎসকের পরামর্শ নিয়ে

এটি চিকিৎসাযোগ্য একটি অবস্থা, তাই লজ্জা না পেয়ে একজন যৌন স্বাস্থ্য বিশেষজ্ঞের সাথে দেখা করুন।

ED caused by excessive masturbation is often psychological or behavioral, not permanent. The first step is reducing frequency, improving sleep, diet, and stress levels. If needed, medicines like Sildenafil (Viagra), Tadalafil (Cialis), or Dapoxetine (for premature ejaculation) may help, but only under medical supervision of sexologist. Avoid self-medication — it's best to consult a doctor for safe and effective treatment tailored to your condition.

You might have retrograde ejaculation where semen goes into the bladder instead of coming out through the penis. The reason could be that the bladder muscles don’t function well. It is not dangerous but might affect fertility. To confirm you need a urologist to check and direct you accordingly.

A burning sensation on the testicular skin can be caused by irritation, fungal infection, sweating, tight clothing, or even an allergic reaction.
Keep the area clean and dry, wear loose cotton underwear, and avoid harsh soaps.
If the discomfort persists, worsens, or is accompanied by redness, itching, or swelling, it’s important to see a doctor—preferably a dermatologist or urologist—for proper diagnosis and treatment.

A lump on the skin of your scrotal sack is often harmless—like a sebaceous cyst or ingrown hair—but it’s important to get it checked. Most skin lumps are treatable and do not affect the testicles directly. However, if the lump grows, becomes painful, or you notice changes in your testicles, consult a sexologist immediately. Early diagnosis ensures proper treatment and rules out anything serious.

ED is a condition characterized by difficulty in obtaining or maintaining an erection. It can be caused by a lot of things such as stress, anxiety, or health problems. Yoga and meditation can help relax nevertheless, a good diet and exercise will strengthen your relationship. Along with this, the cessation of smoking and alcohol consumption may also be beneficial. If the issue does not go away, talk to a sexologist for more help.

When you stimulate your penis too often, you may experience pain and quick ejaculation. This could be caused by irritating the nerves in the genital area. To ease the pain, take a break from masturbation for a while. Concentrate on relaxation methods and light exercises. If the pain doesn’t go away, please consult with a healthcare professional.

तुमच्या पत्नीला सेक्सदरम्यान लघवी होणे (stress incontinence) व स्तनातून दूध येणे (galactorrhea) ही दोन स्वतंत्र समस्या आहेत. याचे कारण हार्मोनल असमतोल (जसे की प्रोलॅक्टिन वाढणे) किंवा यूरीन कंट्रोलचा त्रास असू शकतो. योग्य निदानासाठी एंडोक्रिनोलॉजिस्ट आणि युरोलॉजिस्ट यांचा सल्ला घेणे आवश्यक आहे. रक्त तपासण्या (प्रोलॅक्टिन लेव्हल्स) आणि युरीन फंक्शन टेस्ट करायला हव्यात.

It's understandable to feel concerned about memory issues and feelings of sexual desire. Memory lapses can stem from various factors, including stress, lack of sleep, or even emotional experiences from the past. It's important to explore these feelings in a safe environment. I suggest you speak with a sexologist who can provide tailored support and advice. They can help you understand these experiences better and suggest coping strategies. 

It’s important to understand that sexual health can encompass a range of concerns, including issues like discomfort, decreased desire, or performance anxiety. These can stem from emotional factors, hormonal imbalances, or even physical conditions. To address these symptoms, open communication with your partner and perhaps relaxation techniques can help. However, it's always wise to seek advice from a sexologist. They can provide tailored guidance and treatment options that suit your specific needs. 

Taking the emergency contraceptive pill soon after unprotected intercourse significantly reduces the chance of conception. The hormones in the pill work to prevent ovulation or fertilization. If your period is late after this, you may want to take a pregnancy test. Symptoms of early pregnancy can include missed periods, nausea, or breast tenderness. It’s always best to consult a gynecologist for personalized guidance and support, especially if you have concerns or experience any unusual symptoms. They can provide comprehensive care tailored to your needs. 

Experiencing rapid ejaculation can be frustrating and may be linked to heightened sensitivity, possibly due to increased stimulation or frequent friction. It’s essential to allow your body to relax and consider exploring techniques that promote better control, like deeper breathing or gradual arousal methods. Reduce the frequency of masturbation to allow your sensitivity to settle. If this issue persists or is affecting your quality of life, I encourage you to speak with a sexologist. They can provide tailored advice and support to help you manage this concern effectively and reassure you that it’s a common issue.

Experiencing rapid ejaculation can be influenced by various factors, including anxiety, overstimulation, or lack of adequate control during intimacy. If you notice persistent difficulties, it’s essential to consider approaches such as behavioral techniques, relaxation methods, or discussing options with a sexologist. These strategies can help enhance your comfort and confidence in intimate situations. Additionally, he can offer tailored guidance based on your individual circumstances. 

Swallowing semen does not lead to pregnancy, as conception occurs through vaginal intercourse when sperm enters the vagina. If you are feeling anxious about this situation, that’s completely normal. It's important to be aware of sexually transmitted infections, so practice safe habits. If you have any symptoms or concerns, or if you're considering future preventive measures, speaking with a gynecologist can provide clarity and reassurance. They can offer advice tailored to your individual needs and guide you on sexual health and safe practices.