Patient's question:
Recently, things have been off with my sex life because I've been very tired lately, and my libido isn't very high either. Sometimes, it only takes a couple of thrusts for me to orgasm. Besides that, it's hard for me to get hard. I don't know how I ended up with sexual dysfunction, and I also don't know how to alleviate it. What should I do about sexual dysfunction?Doctor's answer:
In premature ejaculation, over 80% of cases are caused by psychological factors. Psychological premature ejaculation is due to excessive mental tension. For example, reunion after a long separation, wedding (honeymoon), excessive excitement or nervousness, extreme fatigue, depression, drinking alcohol, irregular sexual habits, or marital discord can lead to premature ejaculation. Some people place excessive importance on sex, have overly high expectations, or worry excessively about occasional instances of premature ejaculation. This may alleviate psychological pressure but can also create a vicious cycle of tension, premature ejaculation, more tension, and focused premature ejaculation, leading to the fixation of premature ejaculation.