question: Hello doctor, I am 36 years old, male. Recently I am not feeling as much libido as it used to be. My penis does erect but not to its fullest all the time. The erection does not last longer and I have frequent difficulty in penetration during intercourse. I ejaculate very early (typically after two minutes of penetration) and after ejaculation I do not feel like having next sex for many hours. I have some performance anxiety prior to intercourse which also affects my erection. My BP is sometimes slightly high, but most of the time it is normal. My blood sugar is normal and I have no other health issues and not on any medicine. But I have some work and family related stress currently. I am not statisfied with my sexual health. Kindly suggest me a way for immediate result.