Question: Hi, I am having habit of masturbation from past 8 years, at initial 2 to 3 years used to do masturbating for 3 to 4 times, from past 2 years i am masturbating weekly once or twice . now a days i was fully confused about my sexual life 1. At initial days if i feel anything about sex my XXXXXXX getting very strong(with in seconds) now a days few times it get strong(that also is not like as my XXXXXXX in my initial days) and few times it will not get stiff(strong). 2. I read some article(natural food which increase sexual energy) in that if we have Pomegranate, banana, almonds(Badam), Papaya daily which increase sexual power. i started having that, the day when i have this food my XXXXXXX getting strong remaining days its may or may not. 3. I am having marriage with in 45 days, 4. Due to this i have consulted one of sexologist from top most hospital, and i have explained now my XXXXXXX not getting strong then he suggested below tests, and told everything normal some light oxygen issue and he given NANO LEO(in a day 2 caps) and penagra xpress sildenafil 5mg(1/2 at night), and L-Arginine and Proanthocynidineles(ARGiPIRME) at night 1 pocket For 20 days. I read some articles sildenafil give some side effects, I have mentioned my tests report below please check and let me know is this right medicine for me ? Will it cure my pblm? I don't want to use any Viagra(sildenafil) kind of tablets. I don't want to take long life treatment for this kind of issue. Please suggest me any proper treatment(which i dont want take life long) which can get back my sexual energy as i was having at initial days. Test 1. TRANS RECTAL ULTRASOUND 2. PENILE DOPPLER ULTRASOUND 3. O2C 1. TRANS RECTAL ULTRASOUND Transrectal ultrasonography of Prostate, Vasa, Seminal Vesicles &EJD. Prostate appeared normal Prostate measured 4.0 * 2.0 * 3.1 cms. Weight =13.6ml. Fibro muscular zone of prostate appeared normal. Central zone of prostate appeared normal. Transitional zone of prostate appeared normal. Peripheral zone of prostate appeared normal. Capsule appeared intact. Peri prostatic region appeared normal. Urinary bladder appeared normal. Right Seminal vesicle measured 2.2*0.8 cms. Left Seminal vesicle measured 2.2*0.8 cms. Right ejaculatory duct appeared normal. Left ejaculatory duct appeared normal Impression NO SONOLOGIC ABNORMALITY DETECTED 2. PENILE DOPPLER ULTRASOUND FLACCID STATE STUDY: Insignificant flows Cavernoidal arteries measured 0.5 mm DDV – 0.4mm Canvernoidal Circumference Rt 2.62 Cm, Lt 2.63 cm Shaft Length – 6.3Cms Shaft Girth - 8.5Cms Tissue harmonic Sono –Morphology Study: Symetrical Cavernosae No calcification / Plaque seen Vessel walls appeared normal Branching pattern adequate in both Cavernoidal arteries @ Root, Proximal & Mid saft Level Collateral seen augmenting Cavernoidal filling Fallowing Oracl Sildenafil 50MG : By subject’s choice over ICI FLOW VELOCITIES( Cms/Sec ) Rt. Cavernoidal artery Lt.Cavernoidal artery PSV EDV PSV EDV Fallowing visual stimulation 60Minutes 54.1 46.7 DDV -1.0mm IPA flows, Rt – 11.7 Lt -12.2cms/sec Cavernoidal arteries measured 0.9 mm. IMT about 0.15 mm Cavernoidal Circumference Rt 5.72Cm, Lt 5.80Cm Shaft Length – 12.7Cms Shaft Girth – 11Cms Rigidity scale -4( Rigid erection) Anatomic deformity – Negligible Left leteral bend @ Midshaft IMPRESSION: NORMAL FLOW VELOCITIES 3. O2C Description Endothelial dysfunction is considered to be one of the important key events of the first pathological symptoms in disease progression. Early information and knowledge of endothelial dysfunction assist the outcome of treatment. Please tell me what is my problem clearly and please don't hide anything regarding the same. Note : I don't have any somking, alcohol. I am doing gym daily 30 to 40 mins

Thank you sir, I will fallow your suggestions 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday.. 4) Avoid alcohol and smoking.. One more question i have already taken (purchased the medicine) NANO LEO(in a day 2 caps) and penagra xpress sildenafil 5mg(1/2 at night), and L-Arginine and Proanthocynidineles(ARGiPIRME) at night 1 pocket For 20 days. Do i need to use this? and the doctor(with whome i consulted before) met him after this 20 days Do i need to consult or not required?

Thank you sir, I will fallow your suggestions 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday.. 4) Avoid alcohol and smoking.. One more question i have already taken (purchased the medicine) NANO LEO(in a day 2 caps) and penagra xpress sildenafil 5mg(1/2 at night), and L-Arginine and Proanthocynidineles(ARGiPIRME) at night 1 pocket For 20 days. Do i need to use this? and the doctor(with whome i consulted before) told me to met him after this 20 days. Do i need to consult him after 20 days or not required?