What are the symptoms of erectile dysfunction?

Patient's question:

Recently, for some unknown reason, I've been unable to get an erection during intimate moments with my wife, or the hardness isn't enough to penetrate, which makes me feel extremely upset and worried that I might have premature ejaculation. I'm very anxious, and my wife is too. But I don't know what to do?

Doctor's answer:

Symptoms of Premature Ejaculation: The recurrence is relatively rapid, with spontaneous erections of the penis. During deep sleep at night or upon waking, erections occur during sexual intercourse or when mentally imagining sexual activity. However, when desiring sexual activity, the penis fails to become erect. Alternatively, the penis may become rigid upon initial contact with the female body but becomes soft when attempting penetration. Additionally, mental symptoms such as anxiety, worry, depression, and fatigue may accompany the condition, with some cases also involving premature ejaculation or an inability to achieve ejaculation during intercourse. The primary manifestation is the inability of the penis to become erect under any circumstances, with recurrences occurring more slowly and showing a progressive improvement.

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