Hello Thanks for query . You are facing multiple sexual problems like reduced libido.erectile dysfunction and early ejaculation. The most common cause of these problems is due to frequent habitual masturbation indulged for over many years . In absence of any major health issue these problems are mostly psychogenic in origin and due to anxiety Following measure will help you to boost up your confidence and help to resolve your problems. 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. Dr.Patil,..