Patient's question:
I feel like these last two months, I don't know if it's because of the pressure, but lately it's been hard for me to get erect. It wasn't like this before. Before, it was just that when I did get erect, it wasn't firm enough. I'm very worried that I might have premature ejaculation?Doctor's answer:
Initial symptoms of psychological premature ejaculation generally recur more rapidly. The penis may have spontaneous erections, sometimes during deep sleep at night or upon first waking. However, when the desire to have sex arises, the ability to achieve an erection may be impaired. Alternatively, the penis may become rigid upon initial contact with a female body but then become soft when attempting penetration. Additionally, it may be accompanied by mental symptoms such as anxiety, worry, depression, and fatigue. Some cases may also involve premature ejaculation or an inability to achieve ejaculation during intercourse.Initial symptoms of organic premature ejaculation primarily manifest as the inability to achieve an erection under any circumstances, with recurrence occurring more slowly and often showing progressive improvement.