 [ Symptoms ] several questions 1 what happens to the libidio after the initial ejaculation  i am 60 years old and enjoy a very healthy sex life  5 times per week at an hour each time as f late i can get erect after my first ejaculation and then loose it in a matter of a few minutes how many times can the male body go through this cycle in one session why can not i maintain the erection i have tried natural male enhacement pills and experience some effects i have some stress and high blood pressure and take medication that controls it at normal levels 14775 [ Disease ] there are a few things to consider how long has it been since you had mono if you were sick for a long time you may have lost some muscle mass which takes time to regain also consider changes to how much you now eat  you mention diet but not quantity a registered dietitian can help you troubleshoot changes to your diet you may not be aware of sleep may also be a factor i also recommend getting a physical and checking blood work etc good luck