Can sexual dysfunction affect fertility?

Patient's question:

I've been divorced from my wife for 4 years and have always wanted a child, but I've never been able to have children. Every time we have sex, I feel like I lack the strength, I finish too quickly, and my erection isn't firm enough. There's also a weak ejaculation. When I went to the hospital for a thorough check-up, the doctor said I have erectile dysfunction and premature ejaculation. Does sexual dysfunction affect fertility?

Doctor's answer:

Sexual behavior therapy: also known as. It should be clarified that sexual incoordination is a condition that both spouses should actively participate in treatment, which is beneficial for the patient's identification and reduces their psychological stress, thereby achieving higher efficacy. Male diseases can be stabilized, but the treatment period is generally long, and relapse is prone after treatment. Therefore, active cooperation with the doctor's medication plan is essential during treatment. Additionally, patients need to maintain a light diet, avoid stimulating foods, and not smoke or drink beer.

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