Genitalia problems

Patient: For last month my erection hasnt been getting as big and hard. Volume of semen has decreased and pee no longer easily flows(sometimes takes me like 25 seconds just to get started). I no longer get morning wood or hard when i have to pee. During sex, i havent been able to orgasm. I practice safe sex, but i have no idea what’s going on. Any clue?

Symptoms: ed, less hard, smaller , hard to pee, lack of orgasm

Doctor: