My sex power is weak why

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What are the causes of reduced sexual activity and excitement with reduced amount of semen (not Cumming a lot)?

Exhaustion
Stress and anxiety
Smoking
Alcohol consumption
Sedentary life style
Depression
Psychological problems
Cardiovascular diseases
Diabetes
High blood pressure
Sexual coldness
Excessive masturbation
Drug addiction

What is the treatment and advices to over counter this problem?

Change lifestyle and break the routine and renew the relationship between the couple
An integrated diet provides all the body's needs of ingredients and vitamins
Drink plenty of water daily
Stay away from smoking and alcohol
Exercise daily and regularly to maintain body fitness
Use of sexually transmitted drugs such as Viagra or Syallis and should be used under medical supervision to ensure that the patient is free of any contraindications or side effects
Treatment of chronic diseases
Maintain the level of sugar and pressure within their natural rates
Participation and discussion with partner relationship psychological problems and desires

What are the required investigations?

Clinical examination by a specialist
Semen analysis
Blood test
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