Erectile dysfunction, premature ejaculation, and difficulty in achieving an erection are due to Yin deficiency or Yang?

Patient's question:

The onset time was in 2008 when I was not knowledgeable about sexual intercourse, leading to impotence, premature ejaculation, difficulty in erection, frequent urination, urgent urination, and sometimes hesitancy in urination, lasting only about one minute during sexual activity. Does impotence, premature ejaculation, and difficulty in erection belong to Yin deficiency or Yang?

Doctor's answer:

Chronic overindulgence in sexual activity leads to premature ejaculation, weak erection, short erection duration, sexual apathy, reduced morning erections, accompanied by lower back and waist pain. This is primarily due to kidney essence deficiency, manifesting as kidney yin deficiency. Treatment should focus on nourishing yin and tonifying the kidneys, regulating kidney deficiency with traditional Chinese medicine. In daily life, it's important to enhance dietary nutrition, consuming more dog meat, lamb, and chives. When necessary, with endurance-enhancing supplements can also be considered. Premature ejaculation can be cured, but the treatment period is generally long, and relapse is common after treatment.

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