Brief Answer:
You do not have any serious problem,only psychological concern

Detailed Answer:
Hello XXXXXXX ,

Thanks for writing to us.

I read your query and can understand your concern.

You are young man of 26 and concerned about your post marital sex life.

First of all clarification about masturbation.

Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor does any problem in sexual activity. It also not affects marital life at all and capability of producing children rather it may help in future sex life. So your habit of masturbation is absolutely normal.

Your semen analysis seems also normal.

I saw both images and it seems absolutely normal. Normal bending of penis is there in almost 95% of males. When bending during erection is more than 25 degree and painful then only it is problem. So no need to worry about that aspect.

You will be able to enjoy sex and ejaculate well after your marriage.

Your current erection problem is likely due to anxiety only.

No need to stop masturbation and suppressing your sexual desire.

You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. You may get this medicine over the counter as it is vitamin product.

As you are likely form XXXXXXX I would like to also mention ayurvedic medicine option. Tentex forte is the medicine which is used for sex related problem. No side effects have been reported.

If I were your treating doctor I suggest one tablet of tetrafol plus after meal twice daily for two months and one tablet tentex forte daily at night with a cup of milk for 4 weeks.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart. So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

Hope I have answered your query, I will be happy to help further.

Regards,

Dr.Chintan Solanki.

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Brief Answer:
better to take treatment if bleeding or constipation

Detailed Answer:
Hi,

Thanks for follow up.

Occasional (1-2 times a month) outside food is ok but more than that can cause problem later on. Your piles may be related to your food habit.

If you have bleeding or severe constipation, it would be better to take treatment for piles, If your piles are not problematic you should take high fibre diet, 1-2 glass of water as soon as you wake up in the morning and take more fruits and vegetables. This may help to avoid operation.
However it is better to take opinion of doctor/surgeon. Depending upon severity of problem treatment approach is recommended.

Take care.

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