How should male impotence be treated most appropriately?

Patient's question:

How to treat male premature ejaculation, how to treat premature ejaculation at 40, now it's very difficult to get erect, can't get hard, gets soft after a while, completely unable to have sex, what should I do?

Doctor's answer:

Erectile dysfunction refers to a man's inability to achieve or maintain an erection firm enough for satisfactory sexual intercourse, or the inability to complete normal sexual activity, or the inability to insert the penis into the vagina to engage in sexual intercourse. Occasional successes in 1-2 sexual encounters do not necessarily indicate the presence of erectile dysfunction. Only when the failure rate during intercourse is below 25% can it be diagnosed as erectile dysfunction. For patients with erectile dysfunction, timely treatment can reduce the incidence. If left untreated, it can affect overall health. Therefore, patients should seek timely and appropriate treatment, and pay more attention to self-care in daily life, avoiding spicy foods.

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