Ejaculation frequency, frequent urination, excessive urination, premature ejaculation, lower back pain, weak legs, tinnitus - what to do?

Patient's question:

Previously, during high school and university, I had frequent sexual activity, but I have now abstained. I have poor physical health and am lean. I often experience nocturnal emissions when taking afternoon naps, and I feel dizzy, as if hearing cicadas, during both afternoon naps and nighttime sleep. I have frequent and excessive urination during the day, which improves slightly at night. Standing for too long causes lower back pain, and my legs feel weak during afternoon naps at night. I also suffer from premature ejaculation. What should I do?

Doctor's answer:

Erectile dysfunction has many causes, such as perinatal inflammation, prostatitis, testicular and epididymal inflammation, endocrine disorders, phimosis, overly sensitive sexual nerves, and frequent sexual intercourse. It is recommended to undergo a thorough examination of sexual function, including penile cavernous artery blood flow examination, dynamic analysis of sexual function, and hormone tests. For patients with premature ejaculation, timely treatment can reduce the incidence of the condition. If left untreated, it can affect overall health. Therefore, patients should take medication promptly and avoid overexertion in daily life while paying attention to personal hygiene.

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