Can impotence and premature ejaculation lead to infertility?

Patient's question:

I am a male, 22 years old, with a 5-year history of masturbation. Recently, I just started dating a girlfriend, and during sexual intercourse, I found that I simply cannot get an erection. Even when I do get an erection, it doesn't last very long. Is my current condition considered erectile dysfunction (ED)? I would like to ask: Does ED and premature ejaculation lead to infertility?

Doctor's answer:

According to your condition, you have frequent sexual intercourse, and currently, the recurrence of impotence and premature ejaculation is considered to be caused by severe deficiency of the kidney meridian due to sexual activity. Abstaining from or increasing the frequency of sexual intercourse is the prerequisite, and taking symptomatic medication for treatment is necessary. If you want to confirm the quality of semen, you need to have a few routine semen tests. Normal semen quality allows for conception. Daily, it is necessary to maintain a regular schedule, ensure adequate warmth and insulation, eat light and soft foods, keep the room well-ventilated, and drink plenty of hot water to ensure that the condition does not recur.

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