Is a soft erection a sign of impotence and premature ejaculation?

Patient's question:

Every time I have sex with my partner, my penis is always erect but not hard. Is a soft erection a sign of impotence and premature ejaculation?

Doctor's answer:

Erectile dysfunction, also known as premature ejaculation, refers to the inability to maintain an erection sufficient for penetration during sexual intercourse or the inability to sustain an erection long enough to complete a satisfying sexual experience. There are many causes of premature ejaculation. For example, abnormal penile blood vessels, abnormal corpora cavernosa, penile injury, frequent sexual activity, and urogenital system diseases (such as prostatitis, seminal vesiculitis, orchitis, epididymitis, etc.). It is important to seek medical attention at a professional and reputable hospital for diagnosis. Treatment should be considered based on the examination results. Additionally, it is important to control sexual activity and maintain a positive mood.

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