What are the reasons for excessive masturbation, inability to get hard, and short erection time?

Patient's question:

It was discovered last Wednesday that the erection was not firm enough to last long. Stimulating symptoms or videos could not cause an erection, but slight arousal could be achieved with gentle hand stimulation. Libido felt reduced, and after resting for two days, I had sexual intercourse again. I have been engaging in sexual activity since the second grade of elementary school, with a history of 7 years. Could this be premature ejaculation? I'm very worried. Will it improve after a few days of rest? Can eating chives help? What could be the reason?

Doctor's answer:

During sexual intercourse, if the penis becomes erect but ejaculation occurs before entering the vagina, or immediately after entering the vagina, leading to the penis becoming limp and unable to perform normal intercourse, this does not constitute premature ejaculation. However, if one is elderly and frail, with declining yang energy and semen, resulting in the inability to achieve an erection, this is a normal physiological phenomenon. Blood testosterone level tests can be conducted; if the levels are reduced, it indicates impaired sexual function. Treatment methods include: 1. Acupuncture therapy for premature ejaculation 2. Dietary therapy for premature ejaculation 3. Acupuncture therapy for premature ejaculation (Kuan Yuan acupuncture method) 4. Qigong therapy for premature ejaculation.

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