Dear client, Thanks for contacting Healthcaremagic. I have gone through your question and understand your concerns regarding insufficient erections and early orgasms. To assist you best, one need a complete history including duration of problem, any medical disorder(hypertension, diabetes), alcohol, smoking use, medications etc. is required. I advise you to consult a psychiatrist who will definitely assist you after getting your history to find out the cause of erectile dysfunction in your case. There are many possible reasons leading to erectile dysfunction. Smoking is an important cause of erectile dysfunction. Other common causes of erectile dysfunction are:- 1. Diabetes 2. Some medicines like anti depressants and anti psychotics 3. Hypertension 4. Performance anxiety (the most common) 5. Alcohol use When similar patients come to my clinic I would prescribe them Sildenafil 50 to 100 mg to be taken 1 hour before anticipated sexual activity. But it should be taken only under medical supervision as it can be harmful if taken in extra dose than needed. For premature Ejaculation, behavior techniques and medications together are much helpful then either alone. Common techniques are stop-start technique , squeeze technique, female on top with active role works for most of the patients. Medicine like Paroxetine 20 mg to be taken before four hour or Clomipramine 25 mg to be taken before six hour prior to anticipated sexual activity help to delay climax most of the individuals. These medicines are prescription drugs and should be taken under your treating doctor’s advice and medical supervision. Hope, I have answered your question properly. If you have any further questions I will be happy to help. Wish you and your partner good sexual health ahead.