Our in-house sexpert Jade Zwane answers your questions on premature ejaculation and the effects of diabetes on sex, and weighs in on curved penises.

What can I do about my early ejaculation and low libido?

Premature ejaculation is the occurrence of orgasm and evacuation of semen just before or shortly after beginning sexual intercourse.

The exact causes of premature ejaculation are not known.

Likely causes include stress, unresolved conflict with your partner and depression. The most common cause is anxiety about the act of sex itself.

Because no known cause can be attributed to premature ejaculation, there is no specific cure for it.

I suggest discussing your concerns with your medical practitioner.

Behavioural techniques and sometimes medication can be recommended for your situation. You can see a therapist while using a treatment suggested by your doctor.

Your low libido may be a result of the anxiety caused by premature ejaculation.

I am diabetic and it’s affecting my sex life. It’s been more than five years since I’ve had sex with my partner. What can I do to overcome this?

Studies show that men with diabetes have lowered testosterone levels.

This can significantly affect your desire for sex.

For an erection to occur there needs to be healthy blood flow to the penis. Diabetes damages the blood vessels to your genitals, making it a challenge to maintain an erection.

For a start, try reducing your stress levels. See your doctor about possible treatments and ask about the possibility of hormone replacement therapy.

While this may increase your libido, it may also have adverse effects on your insulin levels. I’m afraid it’s all trial and error, and will require a lot of patience from you.

My penis has a slight curve to it; is this normal?

Penises come in all shapes and sizes. A curved erection is not necessarily anything to be concerned about.

If the slight curve doesn’t interfere with your sexual function and performance then there’s no need to worry yourself.

If it is painful then you need to see your doctor about possible treatment and maybe even surgery.