Can impotence be cured?

Patient's question:

During sexual activity, if the hardness is not sufficient and you feel, is it premature ejaculation? How can it be treated? Last year, I started experiencing this, and whenever I get tired, I feel like it's about to go soft.

Doctor's answer:

First and foremost, it is essential to identify the underlying causes of premature ejaculation. If the premature ejaculation is organic in nature, the primary disease must be treated. For premature ejaculation caused by endocrine disorders, hormone therapy can be used; for cases influenced by medication, discontinuing the drug or switching to an alternative should be considered; for vascular premature ejaculation, vascular surgery may be employed. In cases where the cause of organic premature ejaculation cannot be resolved, penile implant surgery can be used. If the premature ejaculation is psychological in nature, psychological therapy should be adopted. However, the treatment period is generally long, and relapse is prone to occur after treatment. Additionally, it is recommended to maintain a healthy lifestyle and adopt a proper diet during the treatment period.

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