Brief Answer:
Evaluation of Erectile dysfunction

Detailed Answer:
Hello,
Thank you for trusting HealthcareMagic

There are several possible causes for difficulty maintaining an erection like
-Diabetes
-Hypertension, hypercholesterolemia, atherosclerosis of blood vessels
-Neurological problems, nerve injury
-Medications like beta blockers, antihistamines, SSRIs
-Decreased testosterone
-Psychological problems like depression, stress, anxiety, relationship issues
-Substance abuse, alcoholism, smoking

A detailed evaluation including physical examination and blood investigations like Complete blood count, Complete metabolic profile, serum testosterone levels are warranted at this point.

Your husband can also try including certain life style changes to help with erectile dysfunction like
-Weight loss, if needed
-Avoid smoking and alcohol consumption(if at all do so)
-Exercise regularly
-Follow healthy diet
-Manage stress and anxiety. Practice relaxation techniques like meditation

I would also recommend a urine analysis and culture, prostate examination since underlying urinary/prostate infection can cause the fishy odour of semen.

Please be advised to follow up with your primary care provider for further evaluation and management.

Hope this answers your question
Please feel free to address further questions here.

Regards
Dr.Lekshmi

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