If you are distracted by that 'extra skin' you're not focused on enjoying the feelings in your penis. If you're not focused on enjoying the feelings in your penis, it will be impossible for you to orgasm.
Loss of erection commonly occurs when a man is concerned about his penis's ability to perform.
Hello,
Smoking is one of the causes of erectile dysfunction. Cut down on smoking and gradually decrease the number of cigarettes smoked per day.
In most men of your age, the cause is often psychological. Other medical causes may be diabetes, high blood pressure, heart or thyroid conditions, poor circulation, low testosterone, depression, spinal cord and neurological causes.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.