Hello, and welcome to HCM!
You mention a few separate issues in your question. The premature ejaculation
is typically psychological in nature, so it is likely that a sex therapist may be helpful. As far as the pain in your penis and scrotum, I would recommend being examined by a doctor, as this could represent an infection or an anatomic abnormality requiring surgery to correct. Your fatigue and poor libido could be caused by a number of things, including low testosterone
, poor physical condition, sedentary lifestyle, other medical problems (such as high blood pressure
, high cholesterol
, and others), just to name a few. This should be evaluated by a doctor as well.
I wish you good health, and thank you for posting on HCM!