Patient's question:
There was never a time when, even when I was in the mood and had an erection, it didn't last long before I lost it without reaching orgasm. I feel very tired. What should I do? Am I suffering from erectile dysfunction? Can it be cured?Doctor's answer:
There are many factors involved. It is recommended that you consider the following situations, otherwise, it is advisable to seek necessary medical examinations at the hospital to avoid delaying the condition. Male sexual desire reduction refers to the phenomenon where a married individual experiences a significant decrease or lack of sexual desire over a prolonged period. The sexual desire of normal individuals often varies greatly due to differences in their physical constitution and environment. Therefore, when judging whether sexual desire has decreased, it is more appropriate to compare it with one's own past sexual desire (longitudinal comparison) rather than with others' sexual desire (cross-sectional comparison).The factors contributing to sexual desire reduction are as follows:
Emotional Factors
Sexual activity should take place in a state of pleasure and happiness. If long-term psychological disorders and various adverse factors persist, it can lead to a decrease in sexual desire. For example, mistakenly believing that masturbation is unhealthy, or experiencing pessimism and disappointment in life, as well as repeated failures in career, strained interpersonal relationships, or family misfortunes that cause depression, frustration, or other emotional distress, can all result in reduced sexual desire.
Additionally, long-term engagement in heavy labor, especially mental labor, can also lead to a decline in sexual desire.
Disease Factors
Urinary and reproductive system diseases may cause discomfort during sexual activity, thereby inhibiting sexual desire. Examples include chronic prostatitis, epididymitis, urethritis, etc. Other conditions, such as endocrine disorders and various systemic chronic diseases, can also affect sexual desire due to insufficient secretion of male hormones or metabolic disorders.
Medication Factors
Long-term use of certain medications can also lead to reduced sexual desire. Common examples include sedatives and sleeping pills like (), (Liemanning), (Barbitals), (Sleeping); antihistamines like (Benhe lamine) and (Puermin); antispasmodic drugs like (Atropine), (Pulubensin), 654－2; ulcer medications like (Jiaqingmige); and antihypertensive drugs like (Lixueping).
Unhealthy Habits
Chronic alcoholism caused by long-term excessive drinking, chronic nicotine poisoning from heavy smoking, and drug abuse (e.g., marijuana, opium, heroin) can also lead to reduced sexual desire.
Long-term sexual desire reduction not only affects marital relationships but is often a reflection of physical and mental health conditions. Therefore, it should be taken seriously, and timely physical health examinations should be conducted to address any issues promptly.
As married couples age, their sexual desire requirements gradually decline compared to their younger years, which is a natural physiological trend and is generally not considered a pathological condition.