Erectile dysfunction without firmness, premature ejaculation, don't know what disease, please ask the doctor.

Patient's question:

I am 40 years old and male. Recently, I have been experiencing issues with my sexual performance, specifically difficulty maintaining an erection. I tend to get angry easily. Could this be related to a liver problem? I don't have any other health issues, and all my test results are normal. Would it be okay to take Chai Hu Shu Gan Wan (Bupleurum 15)? Are there any other medications that could complement this treatment?

Doctor's answer:

Less overtime, prevent prolonged sitting, and engage in more outdoor activities. It is recommended to have a prostatic fluid test performed at a formal hospital urology department, including bacterial culture and drug sensitivity testing, chlamydia and mycoplasma tests, pelvic color ultrasound, and a thorough urinalysis. Medication effectiveness will be optimal based on drug sensitivity results. Pay attention to rest, avoid overwork, relax your mood, maintain regular sexual activity, and avoid alcohol and other bad habits. Enhance physical exercise. Therefore, patients should take medication according to their symptoms in a timely manner, and maintain regular sexual activity in daily life to prevent prolonged sitting.

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