No urge to urinate, hands and feet feel hot, premature ejaculation, and weak erection - what's going on?

Patient's question:

No urge to urinate, but when urinating, there is discomfort in both lower waists. The discomfort disappears after urination, and there is a delay in urination. Premature ejaculation, only able to last for 3-5 minutes, weak erection for about 4 months. Blood tests, urine tests, and ultrasound examinations were all normal. Just had a prostatic fluid examination, showing + phospholipids, occasional white blood cells, and other results were normal. Previously took Zuoguiwan, which initially showed effectiveness, but later stopped working. No urge to urinate, hands and feet feel hot, premature ejaculation, weak erection—what could be the cause?

Doctor's answer:

Your consideration is the symptom of kidney yin deficiency. The medications you have taken for treating yin deficiency have been effective, but traditional Chinese medicine formulas tend to be slower in effect. Based on your condition, I recommend you try decocted Chinese herbal medicine, which can be much more effective. I can also provide other medications for you. It is advisable to consult a traditional Chinese medicine practitioner for a pulse diagnosis to determine other symptoms you may have, besides kidney yin deficiency. Treating the condition according to the specific symptoms is crucial for patients with weak erections. Timely treatment can reduce the frequency of the issue, but if left untreated, it may affect your overall health. In daily life, pay more attention to self-care and avoid spicy foods.

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