What to do about sexual dysfunction, premature ejaculation, and low energy?

Patient's question:

Dr. Zhang, I've been feeling weak in my sexual performance recently, always finishing quickly. My girlfriend mentioned it might be an issue with my prostate. Is prostate massage painful? Some people say it's very painful, while others online say it's comfortable and even pleasurable. I'm a bit worried. What should I do about sexual dysfunction, premature ejaculation, and low energy?

Doctor's answer:

Prostatitis is not recommended for prostate massage, as it may lead to the spread of inflammation. You need to have a routine examination of prostatic fluid, abstain from sexual activity, avoid spicy and irritating foods, and quit smoking and alcohol. Take levofloxacin, vitamin E, and tamsulosin orally. At the same time, take warm sitz baths. Male diseases are prone to recurrence, requiring long-term medication. Additionally, avoid overexertion in daily life and pay attention to personal hygiene.

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