Brief Answer:
can be due to several reasons, please see the detailed answer below...

Detailed Answer:

Hello,

I've gone through your query and understand your concerns...

I've reviewed the semen analysis report and apart from Sperm morphology, it's mostly within normal ranges only...In fact, semen analysis should not be the first choice in this scenario, the sperm morphology shouldn't alter sexual arousal either, there are several other aspects of it...

Well, first and foremost, time to ask yourself a few things:

eg. -is this the first time it's happening?

-are you recently married?

-are you rushing into it?

-is there too much anxiety (performance anxiety most notably)?

-are you getting nocturnal/early morning penile erection regularly?

If the answers to the above question/s are yes, then most probably it's related to anxiety and stress... Just relax and take your time in that case, focus on a bit of foreplay before-hand..engage in to daily exercise and meditations for about 30min...have healthy diet including high protein (egg, chicken, fish, legumes etc) and antioxidant-rich foods (fresh fruits, dates, almonds, pistachios, olives, green leafy vegetables etc.)...avoid junk foods/smoking and/alcohol (if at all do)...This should take care of it...

Additionally, it's also important to check for other systemic diseases like Diabetes and Hypertension, as well as some hormonal disturbances as they can be an underlying cause sometimes...Meeting the Urologist for a complete clinical examination would be the first step to consider in this scenario...

So just go ahead with it and get yourself checked up at first, management can be done based on the findings...

Let me know if there're any further doubts/queries...

Take Care
Kind Regards

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Brief Answer:
follow as already advised...

Detailed Answer:
Welcome back,

Just follow the advice given earlier, you should notice the improvement...The role of medication comes later (despite following these if there's no improvement)...As already explained, take it easy, take your time, get a good night's sleep, even a brief period of abstinence may be really beneficial also...

Additionally, do visit the Urologist for a check-up as already explained...After the clinical examination s/he may prescribe you SILDENAFIL 50mg Once daily 1hr before the act(provided you don't have any heart conditions).

Take Care
Kind Regards

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