Erectile Dysfunction And Multiple Medications

Hello all. I'm having a situation. I'm 46 and I'm a diabetic. I take several different medications including metformin 1000 mgs 2× day, Lisinopril 20 mgs 1× day, Tradjenta 5 mgs 1× day, Glipizide 5 mgs 1× day and also a 500 mg Naproxen on occasion along with Suboxone 8/2 mg (×2) 1× a day. I now have issues of not maintaining an erection suitable for intercourse, also seemingly low libido. Not that I'm not interested but can't get "into" it so to speak, possibly from anxiety rising from a fear of not performing. I have some dribbling issues when urinating to. Am I in need of an ED medication, testosterone, or possibly a prostate exam? Please help me out. This is a very sensitive subject.

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