What are the symptoms of erectile dysfunction?

Patient's question:

Male, 19 years old. A few weeks ago, I had my first time with my girlfriend, and it lasted about five minutes. It went relatively smoothly. However, in the following two or three times, and up until now, I’ve noticed my penis has become extremely prone to getting soft. Even when wearing a condom, it becomes soft before I even insert it. But when I have sexual fantasies, I can stay erect, and I still have morning erections.
Past treatment history and effectiveness: From ages 14 to 17, I had a habit of masturbation, but it became less frequent later.
What kind of assistance I’m seeking: Can it be regulated through medication? Or is it psychological? I feel a lot of pressure before sex. Are there any measures to reduce this pressure?

Doctor's answer:

Recurring premature ejaculation can be caused by factors such as: psychological and mental factors, excessive foreskin, frequent masturbation, frequent sexual activity, endocrine disorders, systemic diseases, and more. If you experience premature ejaculation again, there is no need to worry excessively. It is recommended to visit a formal urological hospital and undergo thorough examinations under the guidance of a doctor to identify the cause, receive targeted treatment, and potentially self-recover. Premature ejaculation can be alleviated, but the treatment period is usually long, and the condition is prone to recurrence after treatment. Therefore, during treatment, medications should be used according to the specific symptoms. Additionally, it is advisable to maintain a healthy lifestyle and diet during the treatment period. We hope that male patients can recover as soon as possible!

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