Decreased Sexual Desire and Premature Ejaculation Concerns - #52299

Dear Dr. I am writing to request a consultation regarding some ongoing health concerns. I am a 33-year-old male, and for the past year, I have been experiencing a significant decrease in sexual desire. Additionally, I have been dealing with premature ejaculation, which has become a persistent issue during this same timeframe. Working in a high-pressure IT job, I sit for long hours and manage a fair amount of stress. I am concerned about how my lifestyle or potential hormonal imbalances might be contributing to these symptoms. I would like to discuss potential causes and see if blood work (such as testosterone or thyroid panels) or other diagnostic tests are necessary. Please help me with this. Best, Akhil Thakur