How to handle impotence?

Patient's question:

I am 24 years old this year, and I have been masturbating for the past two years, averaging two to four times a week. So far, I have only had a few sexual encounters, and they have all been separated by several months. I often work night shifts. Recently, I started a relationship with a girlfriend, but during our first sexual encounter, I couldn't get hard, which was humiliating.
Hello, is this premature ejaculation? How can it be treated?

Doctor's answer:

During the first sexual experience, some sexual dysfunctions may reappear due to emotional tension, lack of sexual skills, or mental fatigue, such as difficulty achieving an erection quickly, insufficient hardness, inability to enter the vagina for masturbation, rapid ejaculation, or short sexual duration. If this occurs again, it is recommended to enhance communication between partners and gain your partner's understanding. During the next sexual encounter, try to relax and consider changing masturbation positions to alleviate symptoms. If the symptoms do not stabilize or worsen, you should seek medical attention for a follow-up examination. Through a detailed and thorough examination, the underlying cause can be identified, and targeted treatment can be provided. Wishing you good health! Premature ejaculation can be alleviated, but the treatment period is generally long.

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