Patient's question:
During this time, I've been having difficulty getting erect with my girlfriend. Sometimes, even when I manage to get hard, it goes soft after just a couple of minutes. I know this is premature ejaculation, but I don't smoke or drink beer regularly, and my daily routine is very regular. What are the reasons that can lead to male impotence?Doctor's answer:
There are many causes of erectile dysfunction, such as: surgery, trauma leading to damage to the blood vessels and nerves of the penis, resulting in erectile dysfunction; endocrine disorders, chronic diseases, and long-term use of certain medications; chronic prostatitis, recurrent benign prostatic hyperplasia that is difficult to treat; it may also be a special disease—Peyronie's disease, which is characterized by nodular or cord-like plaques on the penis; psychological factors; any disease that may increase blood flow to the penile corpus cavernosum. Premature ejaculation tends to recur and requires long-term medication.