Early ejaculation and low sexual stamina are quite common in men who have diabetes and high blood pressure. When blood sugar remains high for a long time, it can damage the nerves and affect the blood flow needed for normal sexual function. Some blood pressure medicines may also play a role in lowering sexual performance in certain people. Stress, anxiety, poor sleep, smoking, alcohol use, and lack of exercise may further worsen the problem. Keeping diabetes and blood pressure under good control is one of the most important steps towards improving sexual health. Continue taking your medicines regularly as prescribed, eat balanced meals, stay physically active, maintain a healthy weight, and avoid smoking or excess alcohol. Many men also benefit from reducing stress and improving sleep and confidence. Your doctor may advise blood tests to check sugar control, hormone levels such as testosterone, and general heart health before deciding on treatment. Depending on the cause, treatment may include counselling, simple behavioural methods, lifestyle improvement, or medicines that help improve ejaculation control and sexual performance. Do not use any over-the-counter sexual enhancement medicines without medical advice.