Having two openings in that area can be concerning, but it's important not to worry too much. The hole on the top of the penis and the one on the frenulum could be due to a condition called hypospadias, where the urethra doesn't develop completely I would recommend seeing an urologist for a proper evaluation and to discuss treatment options. They can provide you with the best guidance moving forward. 

Rapid ejaculation can happen due to various reasons like anxiety, stress, or even certain medical conditions. There are ways to manage it. Firstly, focusing on relaxation techniques during intimacy can be helpful. Secondly, practicing techniques like start-stop or the squeeze method can improve control. And remember, open communication with your partner and seeking support from a sexologist can make a big difference. 

Taking emergency contraception like Unwanted 72 within 18 hours after unprotected sex can significantly reduce the chances of pregnancy. It works by preventing or delaying ovulation, making it less likely for the egg and sperm to meet. Since it was your first time having sex, the likelihood of getting pregnant might be lower as well. However, it's essential to remember that emergency contraception is not 100% effective. If you're concerned, it's a good idea to take a pregnancy test about three weeks after the incident. In the meantime, try to stay calm and take care of yourself. If you have any more questions or need further guidance, then consult your gynecologist.

Your partner has gonorrhea, which is causing their symptoms. Remember, you could still have the infection and pass it back to your partner even if you do not have any symptoms. Both of you must get tested for gonorrhea and receive treatment. In some cases, infections may not manifest symptoms immediately but they could still be present. Ensure that both of you take the full dose of the medication, abstain from sex until you complete treatment, and utilize protection henceforth.

It's normal to be in doubt as regards your erection. A flaccid erection is correlated with a change in sexual activity, this usually happens when masturbation is ceased or when having sex for the first time. These changes can alter the way your body reacts. It is necessary to remain calm and talk to your girlfriend as well. If after many conversations with your partner, you feel it's not enough. It may be a suggestion to seek treatment from a sexologist.

It sounds like you might have developed a hemorrhoid, which is a common issue caused by straining during bowel movements or, as in your case, possibly during sex. Hemorrhoids are swollen blood vessels in the rectal area that can form a lump and cause discomfort. The good news is that they often improve with simple measures like keeping the area clean, using over-the-counter creams, and avoiding straining. However, it's essential to have it checked by a sexologist to confirm the diagnosis and discuss further treatment options. 

Experiencing involuntary sperm discharge during leg exercises can be concerning. This could be linked to physical stimulation of the pelvic area, which may trigger ejaculation. It's essential to consider whether this happens frequently and if it's impacting your daily life. Keeping a journal of your symptoms may help identify patterns. Staying well-hydrated and avoiding excessive strain during workouts can also be beneficial. However, seeking advice from a sexologist is important to rule out any underlying conditions and receive personalized care. 

Prone masturbation (lying face down) over time may cause repeated trauma to the penis, which can contribute to Peyronie’s disease—a condition where scar tissue causes curvature.

✔️ Mild bends may not need treatment if there’s no pain or sexual difficulty
✔️ Avoid further pressure or injury during masturbation
✔️ Medications or therapies like Vitamin E, Pentoxifylline, or in some cases injections may help
✔️ Severe cases may need urologist evaluation and treatment

Please consult a sexologist for proper diagnosis, monitoring, and management. 

It's normal to have sexual thoughts—these are a part of healthy adult life. For vaginal tightening, options depend on the underlying concern (post-delivery, age-related changes, etc.).

✔️ Kegel exercises help strengthen pelvic muscles naturally
✔️ Some gels or creams are available, but their effectiveness varies
✔️ In some cases, non-surgical treatments like laser or radiofrequency therapy are offered by gynecologists

Please consult a qualified gynecologist for safe and personalized advice. Avoid using over-the-counter products without medical guidance.

Ejaculating within 20–30 seconds is known as premature ejaculation, and your past habit of frequent masturbation may have contributed to it.

✔️ This condition is treatable with lifestyle changes, behavioral techniques, and in some cases, medications.
✔️ Medications like Dapoxetine (a short-acting SSRI) are commonly prescribed, but only under medical supervision.
✔️ Pelvic floor exercises (Kegels) and delaying techniques can also help improve control.

Please consult a qualified sexologist or urologist for a proper assessment and safe treatment plan. Avoid self-medication.

You can share your semen analysis report on WhatsApp for initial review. However, for a detailed evaluation and proper treatment, I strongly recommend visiting a nearby qualified sexologist or andrologist. They can provide personalized care based on a physical examination and complete medical history. Early consultation leads to better outcomes.

Sexual health issues can arise from various causes—physical, psychological, or lifestyle-related. Common concerns include low libido, erectile dysfunction, premature ejaculation, or performance anxiety.

✔️ Avoid self-medication
✔️ Maintain a healthy diet, regular exercise, and manage stress
✔️ Limit alcohol, smoking, and screen time

I recommend a private consultation with sexologist  to assess your symptoms properly and guide you with safe and effective treatment options.

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.