Patient's question:
This year, I entered marriage for the second time, and my wife is six years younger than me. After the marriage, however, I discovered that my sexual function was experiencing "troubles"—not only was it difficult to get an erection, but I also couldn’t maintain it. Many attempts ended in failure. I’m just over forty, and in my first marriage, our sex life was quite harmonious, with no recurring issues. How should one treat erectile dysfunction?Doctor's answer:
Erectile dysfunction is one manifestation of sexual neuroexhaustion. Men may have sexual desires, but the penis cannot become erect or remain firm, or they may experience premature ejaculation upon contact, making it impossible to complete sexual intercourse. The causes of premature ejaculation are numerous, such as excessive tension, deep sadness, excessive worry, extreme fatigue, neuroexhaustion, excessive sexual activity, or excessive sexual intercourse after marriage, all of which can lead to premature ejaculation. In addition to the inability to achieve or maintain an erection during intercourse, patients may also experience symptoms such as dizziness, neuroexhaustion, frequent dreams, poor appetite, or weakness in the waist and knees.