Delayed ejaculation with low semen quantity and reduced interest in sex can be due to stress, hormonal imbalance, lifestyle factors, or side effects of medicines. Try improving sleep, reducing stress, eating a balanced diet, and avoiding alcohol or smoking, as these can affect sexual health. Regular exercise can also help improve energy and performance. It is advisable to consult a doctor for proper evaluation, as you may need tests and specific treatment based on the cause.

Noticing a small amount of semen like fluid after passing urine can sometimes happen due to residual fluid in the urethra or mild prostate related issues and is often not serious. It may be more noticeable if you have frequent sexual activity or prolonged arousal. Maintain good hydration, avoid excessive stimulation, and keep a regular routine. If this keeps happening often, increases, or is associated with pain or burning, it is better to consult a doctor for proper evaluation and reassurance.

Back pain after frequent masturbation may be due to muscle strain or fatigue from repeated activity, especially if it is happening multiple times a day. It is unlikely to be a serious issue, but it can cause discomfort if the body is overworked. Try reducing the frequency, maintaining proper posture, and allowing your body enough rest. If the pain persists even after reducing the frequency, it would be better to have it checked to rule out other causes.

Frequent nightfall can sometimes be due to stress, anxiety, or weakness, but having it very often, along with weight loss, needs proper attention. Focus on improving your diet by ensuring it provides enough calories and nutrients, maintaining good sleep, and reducing stress. Regular exercise can help improve overall strength and control. It is important to get a medical check-up to find the cause of weight loss and get appropriate guidance for your condition.

Reduced sexual sensation and difficulty with ejaculation in your case are most likely due to a combination of medications and underlying health conditions. Drugs like Metocard XL (a beta-blocker) and Depran (an antidepressant) are known to cause sexual side effects such as reduced desire, delayed ejaculation, or decreased pleasure. High blood pressure itself can also affect blood flow and nerve function, which plays an important role in sexual performance. The best approach is to consult your doctor before making any changes. They may adjust the dose, switch to alternative medicines with fewer sexual side effects, or suggest treatments specifically for sexual dysfunction if needed. Lifestyle measures like regular exercise, stress reduction, good sleep, and avoiding alcohol or smoking can also improve sexual health. Open communication with your partner is equally important. In most cases, once the cause is addressed, sexual function improves gradually.