Your symptoms suggest a combination of sexual difficulties along with general weakness and possible nervous system or muscle-related issues. Premature ejaculation and difficulty maintaining an erection may occur due to stress, anxiety, low confidence, hormonal imbalance, or physical causes such as poor fitness, diabetes, or thyroid problems. Constant weakness and trembling of the hands may also point towards low energy levels, vitamin deficiencies, anxiety, or an underlying medical condition that needs evaluation. The cracking sound in the legs is often related to joint movement and is commonly seen in people with low muscle strength or early joint wear. Instead of starting any homoeopathic medicine on your own, it is important to consult a doctor for a proper assessment to identify the exact cause. Treatment depends on the underlying issue and may include lifestyle changes, stress management, exercise, behavioural therapies, and medicines to delay ejaculation, such as sertraline or dapoxetine, if needed. Eating a balanced diet, improving sleep, avoiding smoking and alcohol, and engaging in regular physical activity can also help improve overall strength and sexual performance.

Premature ejaculation can be improved with relaxation, pelvic floor (Kegel) exercises, and techniques like stop-start or squeeze. Managing stress, avoiding excessive porn or masturbation, and open communication with your partner also help. If needed, a doctor may suggest medicines or topical creams; consult a professional to choose what is right for you.

Uphold is usually taken about 1 to 3 hours before sexual activity. It typically starts working within 30 to 60 minutes, and its effect can last for several hours. Take it only as prescribed by your doctor, and avoid alcohol to reduce side effects.

Uphold is commonly prescribed for erection problems and premature ejaculation, so it may help in your case. However, it should be taken only after consulting a doctor who can confirm the cause and suggest the right dose or a safer alternative if needed.

You might be describing premature ejaculation, which is the rapid release of semen following sexual arousal. Anxiety, stress, oversensitivity, a lack of sexual confidence, and occasionally medical issues can all contribute to this prevalent issue. A small amount of semen is not always dangerous and can differ from person to person. Frequent exercise, stress reduction, abstaining from excessive masturbation, and relaxation techniques could all be beneficial. You should see a urologist or sex expert if the issue frequently impacts your confidence or fertility, as treatment and counselling can help.

If Uphold works only briefly and causes mood swings or shivering, these may be side effects, and the medicine may not be right for you. Please consult a urologist or sexologist; they can check for anxiety, hormonal issues, prostate/urinary problems, and suggest proper treatment, which may include counselling, exercises, or a different medicine.