Premature ejaculation with occasional weak erections at the age of 50 may happen due to stress, anxiety, reduced blood flow, hormonal changes, diabetes, poor sleep, ageing, or conditions such as sleep apnea. Sleep Apnea can reduce sleep quality, energy, testosterone balance, and sexual performance over time if not managed properly. Management may include improving sleep quality, treating sleep apnea, reducing stress, regular exercise, weight control, and avoiding smoking or excess alcohol. Medicines for erection support, delay of ejaculation, or anxiety-related performance issues are sometimes used depending on blood pressure, heart health, and overall medical condition. Pelvic floor exercises, counselling, and relationship communication may also improve confidence and sexual control gradually. Proper treatment of sleep apnea may help improve daytime energy and sexual health as well. Avoid taking unregulated sexual performance medicines without medical advice because some may affect the heart or blood pressure. Consult your doctor for evaluation of testosterone levels, diabetes, blood pressure, and sleep apnea severity before starting treatment.