Premature ejaculation with difficulty maintaining an erection is a common and treatable condition, often related to anxiety, stress, performance pressure, or underlying issues like diabetes or hormonal imbalance. Treatment usually involves a combination of methods: behavioural techniques such as the stop-start method and pelvic floor (Kegel) exercises can help improve control, while counselling can reduce anxiety and boost confidence. Doctors may prescribe medicines like Dapoxetine to delay ejaculation, and if an erection is not maintained, drugs like Sildenafil can improve the quality of an erection. In addition, maintaining a healthy lifestyle with regular exercise, proper sleep, and avoiding smoking or excess alcohol can significantly improve sexual performance. It is important to consult a doctor for proper evaluation rather than self-medicating, as identifying and treating the underlying cause leads to the best long-term results.