What are the causes of erectile dysfunction?

Patient's question:

Feeling difficulties with erection, unable to achieve a normal erection. Only during moments of sexual interest can mutual cooperation lead to an erection, but it is necessary to persist in manual stimulation. Without stimulation, it quickly becomes soft. It becomes hard for a short period of time and then softens again. What are the causes of this kind of impotence?

Doctor's answer:

Ejaculation, as a complex conditioned reflex, is regulated by the cerebral cortex nervous center. Due to unhealthy sexual life, bad sexual behavior before marriage, or improper sexual intercourse, men are prone to experience premature ejaculation or recurring premature ejaculation.
II. Organic Factors: Organic premature ejaculation may be associated with primary diseases in the urinary system or other systems. Approximately 70% of premature ejaculation cases are caused by arteriosclerosis and hypertension. Among diabetics, about half experience varying degrees of premature ejaculation. In chronic alcoholism, 10% of patients may develop premature ejaculation.

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