Patient's question:
This year, I entered into marriage for the second time, and my wife is six years younger than me. After the marriage, however, I discovered that my sexual function was experiencing "troubles," not only struggling with erections but also being unable to last. Many attempts ended in failure. I'm just over forty, and in my first marriage, our sex life was quite harmonious, with no recurring issues. How should one treat erectile dysfunction?Doctor's answer:
Erectile dysfunction is one manifestation of sexual neuroexhaustion. Men may have sexual desires, but their penis cannot become erect or remain firm, or they may experience premature ejaculation upon touch, making it impossible to complete sexual intercourse. There are many reasons that can lead to premature ejaculation, such as excessive mental tension, deep sadness, excessive worry, extreme physical fatigue, neuroexhaustion, excessive sexual activity, and excessive sexual intercourse after marriage, among others. In addition to the inability to achieve an erection or maintain firmness during intercourse, patients may also experience symptoms such as dizziness, neuroexhaustion, frequent dreams, poor appetite, or weakness in the waist and knees.