Hello sir. I am 28 years old married guy have minimal daily physical activity and I am a smoker for 8 years. I think my sexual performance is not upto the mark most of the times and I am always confused about few things which I am listing below.
1- Angle of my erections is towards my toes. Sometimes a little above that. Is it normal?
2- Duration of maintaining erection during intercourse is not satisfying and I am almost always worried about this before starting sexual activity. It varies a lot and some times it goes flat during intercourse. This makes me think that I am suffering ED. Is it so?
3- I use local anaesthetic cream on my penis to make it a little numb so that I may last longer in bed. Without the cream, I usually reach orgasm short after penetration (within 1-2 minutes). Very few times, I reached orgasm right at start of penetration. I am worried that I am also suffering premature ejaculation. Is that true?
4- I experience urine dribbles most of the times right after leaving toilet. This makes me feel so bad and it adds on my above mentioned problems.
Please guide me to overcome these problems so that I may feel improvement in my overall genitourinary health.

P.S. I do masturbate often and I've been doing it since my puberty. I also like to watch porn and when I observe acotrs performances, it makes me more worried and complexed.
Thanking you in anticipation