How to treat sexual dysfunction in middle age?

Patient's question:

It's been almost a year. Every time during sexual activity, it doesn't last more than two minutes before I lose it, and I can't find the reason. Do you have any appropriate treatment methods? How to treat sexual dysfunction in middle age?

Doctor's answer:

A man experienced sexual dysfunction again. There are multiple different causes, such as psychological, vascular, neurological, endocrine, and others. When treating, the doctor must first make every effort to identify the cause, then implement targeted treatment. The patient is advised to undergo sex hormone testing to determine if there is an endocrine-related issue. Generally, the first sex hormone to be carefully examined is testosterone. Testosterone is secreted by the testes and directly participates in the production of libido and the maintenance of sexual function. Based on the examination results, treatment should be considered, and sexual activity should be restricted. Maintain a positive mood.

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