1. Possible Causes:a. Hormonal Imbalance: Low testosterone levels.b. Psychological Factors: Stress, anxiety, depression.c. Medical Conditions: Diabetes, cardiovascular diseases, or neurological disorders.d. Lifestyle Factors: Smoking, obesity, alcohol, or substance abuse.

2. Immediate Recommendations:a. Consult a Doctor: Seek medical consultation to discuss symptoms and conduct necessary tests.b. Lifestyle Modifications: Consider reducing alcohol intake, quitting smoking, and maintaining a healthy weight.c. Medication Review: Discuss the potential use of medications like Duraplus, but only under a doctor's supervision. Avoid self-medication.

3. Related Product Information:

   • Duraplus Tablet is used to treat erectile dysfunction and premature ejaculation.
   • Contains Tadalafil and Dapoxetine; requires a prescription.

Note: Always consult healthcare professionals before making any medical or medication decisions.