What are the symptoms of male impotence?

Patient's question:

I have been married to my wife for many years, and we have not taken any contraceptive measures, but we have never had children. After checking at the hospital, I was diagnosed with an illness. Please ask, what are the symptoms of impotence in men?

Doctor's answer:

Premature ejaculation refers to the inability to effectively achieve an erection during sexual intercourse, leading to dissatisfaction. Its manifestations are diverse: the penis may fail to erect under any circumstances; although unable to achieve an erection during sexual arousal, it spontaneously becomes erect during deep sleep, morning erections, or when exposed to erotic stimuli; although able to achieve an erection during sexual arousal, it cannot complete normal intercourse upon insertion into the vagina, or it becomes soft before ejaculation even after insertion. It is categorized into four types: inability to achieve an erection, weak erection, or inability to maintain an erection. Premature ejaculation has been one of the most widely discussed male sexual dysfunctions throughout history.

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