I am 35 year male patient suffering from ed problem for the long time, already have taken more treatment but still not cured. I have been treating from 2012 to till now. Doctors consulted me to do various test and accordingly I have done all everything and accordingly treatment had been taken but not solve my problem. My penis is not completely erect and if I use sildenafil like tablet then for a some time it is erect but premature ejaculation is happen at the time of intercourse. I can't stay at least 5 minutes, within 2 minutes it is happen. Moreover I have both hand tumor problem. Past history I had night fall problem for the long time. Then after treatment I have recovered from it. But now I can not recover from this problem. According to the report of my ceruloplasmin, serum test it is low. It shows 0.15 g/l instead of 0.20-0.60.so I think this may be happen due to this problem. Some other irregular report are given as follows-1) glucose fasting (h) 113 mg/dl (70-110) 2) total bilirubin (h) 2.14 mg/dl (0.2-1.3) 3) unconj bill (h) 1.69 mg/dl (0-1.1 mg/dl) 4) delta bilirubin (h) 0.45 mg/dl (0.0-0.2) 5) globulin (h) 3.5 g/dl (2.8-3.2 g/dl) 6) vitamin d (l) 21.3 ng/ml (3.0-100) 7) alt (h) 54 u/l (4-50) please help me.