What should be done about sexual dysfunction?

Patient's question:

This year I am twenty-one years old. I have a very long sexual history, but when it comes to actual intercourse, I realize that my erection is not firm, or I can't get an erection and ejaculate as soon as I touch the vaginal opening. What should I do? Besides that, I have frequent nocturia, and each time I feel as if I can't empty my bladder completely. During intercourse, I also feel weak in my erection, premature ejaculation, and after ejaculation, I feel weak in the waist and have grown a lot of white hair. My libido seems to have decreased significantly. In the past, watching movies would make me erect, but now I only secrete some fluid and do not get an erection, or I get an erection but it is not firm. If I force intercourse, I can still get an erection and ejaculate. Sometimes the biggest problem is the issue of the urinary tract, as well as the problem of actual intercourse. What should I do? How should I deal with sexual dysfunction?

Doctor's answer:

Based on the information above from your prompt tone, it is considered that the recurrence of the above condition is due to long-term sexual activity. Long-term sexual activity can lead to excessive congestion and edema of the prostate, making it prone to prostatitis. Therefore, in addition to abstaining from sexual activity, it is important to promptly and carefully examine the prostate. If any issues are found, timely treatment should be sought. If there are no problems, pay attention to hygiene, engage in appropriate exercise, enhance physical fitness, and avoid spicy foods, alcohol, and smoking. Additionally, avoid prolonged sitting.

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