Such problems may result from different things such as stress, anxiety, or certain medical conditions. Take good care of yourself by getting enough sleep, eating healthy foods, and engaging in physical exercises regularly. Besides, try to open up with your spouse about this matter and at the same time practice some relaxation methods together. 

A "non-reactive" result indicates that the test did not detect HIV antibodies or antigens in your blood at the time of testing. And you have consistently received non-reactive results over a span of a few months. However, for definitive advice regarding testing intervals and your specific situation, it's essential to consult a professional who specializes in sexual health or infectious disease

It is effects of the combination of anti- depression medication esram plus & zopidem pill... 

I am suggesting you some ayurvedic medicines.

Take Aswagandhadi churan half teaspoon in the morning & in the night.

Take Capsule SHILAJIT one in the morning and one in the night,

Take tablet manmath Ras one in the morning and one in the night.

Take tablet Pushp dhanva Ras one in the morning and one in the night. And take tablet Sidh makardhwaj Vati with gold, one in the morning and one in the night after food.

All the above preferably with hot milk or with water

Also apply and message Shri Gopal tail on your penis three times a week for 2 to 4 minutes.

Avoid junk food, oily and spicier food, alcohol, tobacco, tension and anxiety.

Start doing brisk walk or running or cardio exercises for at least 30 min a day. Start doing yoga, pranayama, meditation, Vajroli mudra. Ashwini mudra, kegel exercise for at least 30 min a day.

Start taking hot milk twice a day.

2-3 dates in the morning and in the night with milk.

Do all the above suggested treatment for 3 months and see the results.

If you don't get satisfactory results then please go to your family doctor or a good sexologist.

You can also contact me on my private chat or directly in my clinic. We can send you the medicines by courier.

My website: www.kayakalpinternational.com

When using Paurush Jiwan for a long time, it's important to consider if it may produce side effects. Feeling tense can be a sign of addiction. It is harmful and may cause health problems. It's best to stop using it and consult a doctor for advice on health promotion.

Maybe you have testicular retraction. This is when the muscles in your scrotum pull your testicles up towards your body instead of letting them hang down like they should. This can be uncomfortable and even painful during sex or ejaculation. To help make your testicles hang lower and feel more comfortable, try taking warm baths or using supportive underwear. If the problem does not go away, it is best to see a doctor for help.

The tubes that carry the sperm may have been blocked. This can be caused by different things such as infections or previous surgeries. You must visit a doctor so they can determine what is causing it and give you appropriate treatment. 

It is crucial to realize that gaining an excessive amount of pornography and cyberspace ultimately results in being desensitized, and it has a negative impact on sexual encounters with real living partners and relationships.

The "flat line" effect, that you brought up, is also a commonly displayed problem where former porn addicts may experience a drop in their sex drive and arousal. But for now, the findings are not substantial, more studies are required to distinguish porn effect on sexual function from its own.

With regard to facilitation, many people have found it immensely helpful to consult a professional mental health care provider, such as a therapist or a counselor, and avail their expert help in dealing with this problem and addressing any underlying psychological factors. A sex therapist may possess skills in counseling individuals with sexual dysfunction or enhancing sexual functions.

Your well-being is of top concern and seeking the help of a mental and sexual health specialist can provide you with the needed information when making a decision about your next step. In this connection, I suggest you talk to a psychologist or sex therapist, whose main professional concern is the issues you are experiencing, for more help and support.

Best regards,
Dr. Madhu Sudan