What are the causes of male impotence?

Patient's question:

I started having sex when I was in middle school. I didn't realize it before, but in the past year, I've noticed my body getting worse day by day. With my girlfriend, sex lasts only 1-3 minutes. Beforehand, I used to be quite excited, but after going out, I lose control immediately. I also feel that my hardness is not as good as before, and I occasionally have difficulty getting erect. I often have frequent urination and a strong urge to urinate. After sex, I feel completely exhausted, weak in my limbs, and my knees and waist feel sore. What are the causes of male impotence?

Doctor's answer:

There are many reasons for premature ejaculation. One is psychological factors, such as emotional indifference between couples, age, or stress due to certain reasons, which can lead to premature ejaculation. If sexual activity becomes habitual and the frequency is too high, the erection center may remain in a state of tension for a long time, eventually leading to premature ejaculation again. The condition of premature ejaculation is prone to recurrence, requiring long-term medication. Moreover, for male patients, it is important to seek professional and regular medical treatment promptly, and treatment should be considered based on thorough examination results. Additionally, it is necessary to restrain sexual activity and maintain a good mood.

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