What are the manifestations of sexual dysfunction?

Patient's question:

At night when trying to get an erection during intimacy, it feels quite difficult. The marital life is not harmonious, and there is suspicion of erectile dysfunction and premature ejaculation. Please ask what are the symptoms of sexual dysfunction?

Doctor's answer:

Sexual dysfunction is characterized by symptoms such as weak erection, lack of firmness, premature ejaculation, overall fatigue, lower back and back pain after intercourse, and excessive sweating. The causes of these symptoms can be summarized into two categories:
1. Psychogenic sexual dysfunction: In over 80% of premature ejaculation cases, the issue is caused by psychological factors. Psychogenic premature ejaculation is a result of excessive mental tension.
2. Physiological sexual dysfunction: Examples include congenital abnormalities of the external genitalia, phimosis, inflammation of the glans or foreskin, urethritis, balanitis, multiple sclerosis, spinal tumors, cerebrovascular accidents, epididymitis, and chronic prostatitis, all of which can reflexively affect the spinal cord center and lead to premature ejaculation.

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