How to overcome sleep, sexual, and mental issues?

Hi doctor,

I am suffering from the below-mentioned problems:

1. I am not able to sleep properly at night and by that, I mean I am not getting sound sleep.
2. When I wake up in the morning, I feel weak and tired. This weakness and tiredness continue throughout the day.
3. When I walk for a long distance, I get swelling in my thighs just below the testicle.
4. I feel sexually unhealthy, and the size of my penis and testicles are very small. My sexual performance is also very low.
5. I am also mentally unstable, and I am unable to concentrate on anything. Various thoughts come into my mind, and I feel depressed and lonely.

I have consulted various physicians. Kindly suggest proper treatment for my above-mentioned issues.

Hello doctor,

My answers are as follows:

1. Last year, I visited a psychiatrist and he gave me medicines that helped me to sleep but I could not take them for a long time. The doctor prescribed general medicines that had an effect during the time of taking the medicines but after that, there seemed to be no effect.
2. I am an engineer working in a telecom company and mine is field work. There is no office culture in my job. There are four engineers in our team working in different locations and we meet rarely. We only talk over the phone and do our work. I am 27 years old. From the time I started to work and wherever I work, I do not have any close friends and I feel very alone. Even if I have to go shopping, I do it alone. Till now, I do not have any girlfriend in my life (not even a single female friend). By looking at other people I think that I should also have a girlfriend but there are no such friends to befriend at the office or at another place.

I communicate less with my family members, and it is only formal. I call them once in a week or once in 15 days. I do not feel like talking with them. I want to share lots of things with them but I am unable to do it and I do not know the reason for this.

Regarding my social life, I think I do not have any social life. I talk with very less relatives in my family. I do not attend any family functions due to my job and even if I did, I feel very awkward because I know only a few people. Regarding my sex life, as I had described above, I do not have any female friends till now. I think a lot about sex, but I am unable to do anything. I do masturbate but I do not feel any pleasure as everyone says because there is no tightness in my penis, and I ejaculate within one minute. Whenever I masturbate at night, I feel very weak, especially in my legs.

I have had sex with a commercial sex worker once, but I did not feel any pleasure after having sex. I do not feel sexually healthy enough to satisfy any woman in sex. Now, I am 27 years old, and my family is asking me to get married, but I am not confident about marriage. And about being mentally unstable, I am working in a telecom company and whenever I have heavy work or if the workload increases, I cannot handle it. If anybody tells me anything that hurts me, it stays in my mind for a long time. Nowadays, I have started shouting at people over the phone regarding any work-related matters.

Whenever I go to sleep, thoughts come to my mind. I cannot get sound and peaceful sleep. My sleep goes off early in the morning and thoughts start to come and I feel weak and my headache also kicks in. I suffer from this pain and tiredness the whole day. Also, I feel vibration and joint pain in my legs and arms. Whenever my legs and hands are not straight, it starts vibrating. Sound comes from my joints as if they are breaking.

Due to all these, my digestive system has also been affected. I go to the toilet twice or thrice in the morning and gas and acidity persist all day long.

I take less spicy food daily and try to avoid spicy foods.

I take fruits, green salad, green vegetables, and juices. I am very conscious about my eating habits, and I take dry fruits. I take a morning walk four to five days a week. I have done a few tests and I have attached the reports. Please check and provide a proper solution for my issue. If it is a psychological problem, kindly suggest steps to recover from it. I am totally done and fed up with this problem. Sometimes, I have suicidal thoughts, but I try hoping that one day I will be able to recover from this and lead a healthy and peaceful life. Please help.