Hi and thanks for the query, the symptoms you present are two different things, one suggestive of a urogenital infection and the other sexual weakness or fragility, which could be related, but not absolutely. Its necessary to do a urethral swab, bacteriologic exam, culture and anti biotic sensitivity tests. Testing for diseases like Chlamydia, Syphillis could be worthwhile doing. Sexual fragility could arise from infections, but could also be psychological. Sex is all a matter of the mind and psychology, and factors such as stress and inadequate preparation for sex on the sides of both partners could be play significant roles in its quality. Consulting a urologist is the best thing to do to avoid disorderly taking of anti biotics that could lead to resistance. the urologist after his evaluation could either involve a sexologist or not in the management arena depending on the case. Thanks and best regards, Luchuo, MD.