Hi Sir, Welcome to Health Care Magic I can certainly understand your concern about erection problem lipoma in hands and legs has nothing to do with your erection, it is not related to erection in any way, so be relaxed If you are concerned about your erection , you can self check by NPT ie nocturnal penile tumescence , in which erections occur in the early morning during sleep, you have mentioned that you are getting less erection, so you can make sure by this There are many ways to get rid of this problem...like... Getting relaxed before sex, avoid stress, try to avoid smoking and alcohol if any , maintain healthy life style...In addition needs to maintain adequate weight which is ok in your case...I would advise you to start on sildenafil...to maintain the production of nitric oxide ie NO Which helps in sustaining erection of penis. It is helpful to consult psychiatrist for reassurance and other therapeutical measures. Post your further questions if any, I will available to take up your follow up questions Thank you