What are the symptoms and pathological manifestations of impotence?

Patient's question:

I am 47 years old this year, and I usually work quite busy. I also feel very tired physically. Recently, when having sex with my wife, I found that I couldn't get an erection, which has also affected our marital relationship. I really feel very distressed. Please ask: What are the symptoms and pathological manifestations of impotence?

Doctor's answer:

Erectile dysfunction is a concept in traditional Chinese medicine, while Western medicine refers to it as impotence. Its symptoms primarily include slow erection response, inability to achieve an erection, or a sudden limp after an erection without completing ejaculation, which is termed as premature ejaculation. The causes of this condition can sometimes be vascular, psychological, or other organic factors, such as insufficient testosterone levels. Vascular factors include conditions like high blood sugar, high blood pressure, and high blood lipids, all of which can lead to insufficient penile congestion, resulting in the inability to achieve an erection.

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