Question: Dear Doctor,

First of all let me just brief you about my problem
My sexual desires has lowered significantly. I feel tired during the day ( Not sure if it's related )

Describing in details
( It's embarrassing but I am trying to be as transparent as possible )
I am 25 year old with weight 55Kg , height 5'7''. For some reasons, my sexual intensities were extremely high since my teenage which made me indulge in severe addiction to pornography, masturbation ( and even trying new things learnt from internet ).

I started smoking cigarettes around 3 years back and there was a time when I used to consume more than a pack a day. Now, I smoke around half a pack every day. I have even been addicted to Marijuana etc as well for almost 2 years which I have now quit permanently.

I had a girl-friend around one and half year ago for almost an year. We had sex regularly. Strangely, I never enjoyed having sex with her, neither I performed well.

To give you more background, I have not been physically fit in my childhood days, neither I maintained a healthy diet in past 4-5 years.

I am getting super worried about my situation as I might have to get married soon.

I request you to please give me some direction regarding this. Really appreciate your time.

Thanks

Dear Mr. XXXXXXX

Thanks for your reply.

Yes, I do get orgasm while masturbating. But erection gets difficult without porns. I believe my masturbation habits is more of a psychological addiction. My life was very much stressful in past few years. I guess it was also in play here ? Was it ?

I'll follow your all three advises strictly.

So can it be improved over time given I follow all your three advises strictly ? If yes, does it take years or months ?

Thanks, XXXXXXX