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.

Getting intimate­ with someone who had chicken pox 25 days prior is typically safe­. The varicella-zoster virus be­hind the rash, fever, and itching, isn't spre­ad through sex. Once symptoms disappear, the­ infected person isn't contagious anymore­. However, ensure­ your partner feels he­althy, with the rash fully healed be­fore getting close physically.

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 vibrating feeling in your testicles is often due to nerve irritation, muscle spasms, or referred sensations from the lower back. Stress and anxiety can also trigger phantom vibrations. If it persists or is painful, consult a sexologist.

It sounds like you experienced an unexpected loss of erection during intimacy, which can happen due to various factors, including anxiety, fatigue, or stress. Such occurrences are common and often not a sign of a serious condition. To address this, focus on relaxing and communicating openly with your partner. If this happens frequently or causes concern, I encourage you to consult a sexologist for a thorough evaluation. 

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.

If you had protected sex and the condom didn't break, you likely don't need to take Unwanted 72. However, if you're worried or unsure, it’s always best to consult with a gynecologist for personalized advice.

It is common to have some­ small pain after activity. If you are fee­ling pain in your penis, it could be due to irritation or tiny te­ars in the skin. Also, not using enough wet stuff can le­ad to this pain. To feel bette­r, let your body rest and heal up. If the­ pain stays or gets worse, it is important to talk to a urologist.

When you masturbate and ejaculate your testosterone levels increase temporarily. This is because the orgasm triggers the release of hormones in the body. Yet, don't panic. Your testosterone levels are going back to normal. Masturbation is a quite typical and harmless part of sexual behavior. It does not affect your overall testosterone levels.

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.

Experiencing challenges in getting and maintaining erections can be difficult. It is known as Erectile Dysfunction (ED). The symptoms may include having problems achieving an erection or keeping one. Possible causes may be stress, anxiety, health conditions, or even medications you are taking. Therefore it is important that you talk with your partner openly about this matter and also seek advice from a sexologist who would guide you.