Brief Answer:
Need to consult Urologist for clinical examination & investigation.

Detailed Answer:
Hello
Thanks for query Based on the facts that you have posted it seems that you are facing problem of Erectile Dysfunction and Premature ejaculation .

I shall be happy if you can post me more details to help me in making precise comments
1) Are you married ?
2) Are you able to get hard erection and to penetrate vagina during sex ?
3) Do you ejaculate within one minute after penetration of vagina?

One is supposed to have problem of erectile dysfunction when he is unable to penetrate vagina .Erection is a very complex process and involves Central Nervous System ,Blood vessels and erectile tissue in penis .Erectile dysfunction (E.D.) can be Psychogenic or Vasculogenic in nature and needs to be investigated to find out the precise cause .

Consult qualified Urologist for clinical examination and get following basic tests done to establish the cause for ED .
1) Blood Tests for Diabetes ,Thyroid hormone assessment ,
Prolactin and Testosterone levels.
2) Color Doppler Ultrasound Scanning of Penis

Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking..

Taking Sildenafil (Viagra) one hour before sex will help to get good hard sustainable erection and delay ejaculation to have enjoyable sex.

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

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Brief Answer:
Need to do Ultrasound Scanning of Penis to rule out Vascular insufficiency

Detailed Answer:
Hello
Thanks for feedback and uploading all relevant reports .

Have you ever tried Viagra or Cialis to get erection ?

Based on the reports your sperm count and sperm motility is lower than normal range (Oligoasthenospermia ) and Left sided Varicocele ,

However this is not the cause of Erectile Dysfunction .

Erection is the process where erectile tissue in penis is filled with arterial blood 20 times more than normal blood flow and at the same times venous flow from the penis is occluded .This results in trapping of blood in erectile tissue of penis resulting into penis becoming hard adequate enough to penetrate vagina for enjoyable sexual intercourse The color Doppler Ultrasound Scanning of the Penis will help to find out whether your ED is due to vascular insufficiency .It will help to decide further line of treatment .

Thanks and Regards.
Dr.Patil.

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Brief Answer:
Viagra has temporary side effects

Detailed Answer:
hello
Thanks for follow up .

Viagra has side effects like headache ,drowsiness which last for few hours and can be taken thrice a week.

The two tests that you have mentioned are different ,You need to to do color Doppler Ultrasound Scanning of penis .

For dose and mode of taking you need to consult your family physician .

Thanks and Regards.
Dr.Patil

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