How can middle-aged men effectively alleviate impotence and premature ejaculation?

Patient's question:

How to treat impotence and premature ejaculation in middle-aged men, I am 40 years old now. Is it easy to treat premature ejaculation at this age? Previously, during sexual intercourse, I found that it took a long time to get erect, and the response was very slow. Is this a sign of premature ejaculation? How should I treat it now?

Doctor's answer:

There are several reasons that can lead to male impotence and premature ejaculation, such as kidney deficiency, prostatitis, phimosis, prolonged sexual activity, urethritis, seminal vesiculitis, phimosis, vascular diseases, unhealthy physical conditions, psychological states, and unscientific lifestyles, all of which can cause impotence and premature ejaculation to varying degrees. Given that you have a sexual activity habit, the cause is more likely to be sexual premature ejaculation. The condition of premature ejaculation is prone to recurrence, requiring long-term medication for maintenance. Moreover, for male patients, it is necessary to immediately seek professional and regular medical treatment and consider treatment based on the results of the examination.

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