You may be experiencing premature ejaculation due to performance anxiety, which is a common and treatable condition. Practising relaxation techniques, focusing on longer foreplay, and trying behavioural methods such as the start-stop or squeeze technique, as well as pelvic floor exercises, may help improve control. If the problem continues, please consult your doctor for proper evaluation and treatment.

Sildenafil (generic Viagra) should only be used with a cardiologist's approval following CABG surgery if your blood pressure is typically low. This is especially important if you take nitrates or have dizziness, as sildenafil can further drop blood pressure. The precise dosage and safety depend on your cardiac medications and blood pressure profile. If permitted, it is usually taken at the lowest dose and no more than once every 24 hours.

To improve sexual stamina, the most effective approach focuses on overall cardiovascular health, stress management, and lifestyle habits. While supplements like L-arginine, Ginseng, and Zinc are popular for supporting blood flow and testosterone, scientific evidence for their efficacy is limited. Prescription medications like sildenafil (Viagra) treat erectile dysfunction but do not directly increase stamina or duration. Instead, regular aerobic exercise, pelvic floor (Kegel) exercises, and a balanced diet are proven to help. I highly recommend consulting a healthcare provider to rule out underlying issues like hormonal imbalances or cardiovascular concerns before starting any new supplement or medication.

Viagra is used to treat erectile dysfunction and should be taken only when needed, about 30-60 minutes before sexual activity. It works best on an empty stomach and only with sexual stimulation. Use it once every 24 hours only, and follow the dose prescribed by your doctor. Avoid alcohol or heavy meals, as they can reduce its effect.

Your measurements are within the medically recognised normal range for adult male penile size, as there is wide natural variation among individuals. Sexual satisfaction and relationship quality depend far more on emotional connection, communication and technique than on physical size alone. If feelings of inadequacy are affecting your confidence or relationships, speaking with a healthcare professional or counsellor may be helpful.

Low sex drive is something many people notice at different stages, and it usually doesn't come from one single cause. It can slowly develop because of mental stress, lack of sleep, work pressure, anxiety, relationship tension, or simple exhaustion from daily life. Physical factors like thyroid issues, diabetes, low testosterone, or side effects of certain medicines can also play a role. Because of this mix, just taking a random tablet or supplement often doesn't fix the real issue and may even give no benefit at all. Getting better sleep, staying active with regular exercise, eating balanced meals, and cutting down on alcohol or smoking can gradually improve energy and interest over time. In some cases, a doctor may suggest basic blood tests to understand if hormones or other health factors are involved before starting any treatment. If this problem has been going on for a long time or is affecting your relationship or confidence, it's worth getting a proper evaluation so the treatment can be matched to the actual cause instead of guessing.