What are the causes of impotence?

Patient's question:

I have always had a very good relationship with my wife, but I don't know what's going on. Every time we have sex, I experience erectile dysfunction and premature ejaculation, and our sexual life is not smooth at all. Is it erectile dysfunction?

Doctor's answer:

Men sometimes experience temporary inability to achieve an erection due to excessive sexual activity, overfatigue, physical and mental exhaustion, excessive alcohol consumption, or sexual intercourse in abnormal or non-recovery environments. However, if the penis can return to normal erection after the situation changes, it should be within the normal range. There are many reasons that can lead to impotence and premature ejaculation, such as prostatitis, excessive foreskin, overly sensitive glans, insufficient blood supply to the penis, etc. Specific diagnosis still requires careful examination, and targeted treatment should be carried out accordingly.

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