What causes male impotence?

Patient's question:

My boyfriend seems to have premature ejaculation. Every time we have sex, his penis cannot get erect. It's often soft and doesn't harden much. He is also very self-conscious. What are the causes of erectile dysfunction in men?

Doctor's answer:

The main reasons are functional and organic. Functional factors are also referred to as psychological factors, such as long-term sexual activity causing psychological stress, poor daily relationships with immediate family members, inappropriate or insufficient sexual stimulation, adverse sexual experiences, and poor sexual living environments, all of which can lead to issues. Organic factors are often seen in abnormalities in penis development, endocrine issues, inflammation of nerves and blood vessels, local inflammation of the penis, prostatitis, orchitis, and other reproductive system inflammations. It is important to seek timely examination at a formal urology specialty hospital, identify the underlying cause, and then treat the primary recurrence accordingly.

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