How can you determine if you have erectile dysfunction?

Patient's question:

I am 19 years old this year. In the past, I had frequent sexual activity, but I have completely quit now. I am worried about premature ejaculation. Sometimes when I intentionally make my penis erect, it doesn't work. But when I don't think about premature ejaculation, as soon as I recall many stimulating scenarios, my penis becomes erect. My penis gets erect many times a day, including morning erections. How can I determine if I have erectile dysfunction?

Doctor's answer:

Premature ejaculation is characterized by a man's inability to achieve an erection or maintain a firm erection during sexual arousal, leading to difficulty in engaging in sexual intercourse. When a man is completely unable to achieve an erection, it is referred to as complete premature ejaculation. When a man can achieve an erection but does not have the sufficient rigidity required for sexual intercourse, it is called incomplete premature ejaculation.
(Normal): Sexual desire is normal, with a rapid erection response. The erection duration can last until ejaculation or disappear after intercourse is interrupted. The erection hardness allows for free insertion into the vagina, with good sexual pleasure. The frequency of sexual intercourse does not show significant changes, and the erection response during intercourse is normal.

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