What are the early symptoms of impotence?

Patient's question:

27 years old. Male with a long history of masturbation. Recently, he just started dating a girlfriend, and during sexual activity, he found that he couldn't get an erection at all. Even when he did, it didn't last very long. Is my condition erectile dysfunction? Please ask: What are the early symptoms of erectile dysfunction?

Doctor's answer:

Changes in unhealthy lifestyles, comprehensive prevention and treatment of high-risk factors, such as enhanced exercise, active treatment of primary diseases like diabetes and hypertension. Primary testicular diseases caused by insufficient testosterone excretion or secondary to pituitary issues, or vacuum negative pressure device therapy. When using a vacuum device, a negative pressure ring is placed at the base of the penis to block blood flow, while negative pressure acts on the corpus cavernosum, drawing blood into the penis to achieve weak erection. Young patients generally find it difficult to understand the vacuum device, while elderly patients with low sexual frequency and those who dislike non-invasive, non-pharmacological treatments are more likely to understand vacuum therapy. Side effects include penile pain, numbness, and inability to ejaculate.

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