These combined symptoms of ejaculation before penetration and difficulty maintaining an erection suggest overlapping sexual health issues that need proper medical evaluation. They can be linked to stress, anxiety, performance pressure, relationship concerns, poor sleep, lifestyle factors, excessive pornography use, or medical conditions such as diabetes or hormonal imbalance. Masturbation itself is usually not harmful when done in moderation, but long‑standing habits combined with anxiety or unrealistic sexual stimulation patterns may sometimes affect sexual performance. Since these problems are affecting your sexual health, self‑medicating with sexual performance medicines without medical advice is not recommended. A doctor, preferably a urologist or sexologist, can evaluate both physical and psychological causes and guide the most suitable treatment. Management may include counselling, stress reduction, lifestyle changes, pelvic floor exercises, behavioural techniques, and medicines only when medically appropriate.