Problem Maintaining Erection and Reach Orgasm

Patient : I'm 28 years old and have a hard time maintaining an erection either manually or with my girlfriend. This has started happening in the past 2 years. When my girlfriend is stimulating me with her hand it feels fantastic, but i cannot maintain an erection. So far I have not been able to reach an orgasm with her. She is my first sexual partner and i do not feel nervous with her. I can reach orgasm on my own, but its normally not fully erect when i do. It also takes between 30 mins to an hour on my own. What can I do to help this?
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