Feeling impotent and premature ejaculation, what should I do?

Patient's question:

I have been living with my girlfriend for three months, but surprisingly, I haven't had a single successful sexual encounter. I can't penetrate and end up ejaculating, or I lose it after just a little friction. Normally, I can get erect easily, and I'm only 22. Am I done for? Can you help me? I feel like there's no point to living anymore. What should I do?

Doctor's answer:

Normal sexual activity generally lasts 20-40 minutes. If it's shorter than 20 minutes, it's considered slightly shorter in duration. If it's shorter than 5 minutes, it's classified as mild premature ejaculation. If it's shorter than 3 minutes, it's classified as moderate premature ejaculation. If it's shorter than 1 minute or occurs before sexual activity begins, it's classified as severe premature ejaculation. Some people may experience fluctuating symptoms, and the shortest duration should be considered. Eating more fruits and vegetables, especially those rich in vitamin B1, can help maintain the balance between nervous system excitation and inhibition. In necessary cases, medication can be supplemented to help delay premature ejaculation. The condition is prone to recurrence, requiring long-term oral medication.

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