What are the causes of premature ejaculation?

Patient's question:

In the past half year, the penis cannot fully erect or maintain a firm erection, making it impossible to fully engage in normal sexual life. My wife has also become indifferent to sex due to insufficient emotional communication. I often experience anxiety and irritability, accompanied by premature ejaculation. What are the causes of impotence and early ejaculation?

Doctor's answer:

From the perspective of Traditional Chinese Medicine, the causes of premature ejaculation are closely related to the dysfunction and endocrine imbalance of organs such as the liver, kidneys, heart, and spleen. Therefore, excessive overthinking, as well as emotional distress, can lead to it. Additionally, irregular sexual activity, deficiency of kidney qi, physical trauma, and weakness due to aging can all result in disharmony of qi and blood, as well as meridians. This leads to the nourishment of the "zongjin" (penis) being compromised, resulting in premature ejaculation.
Long-term emotional distress can cause worry, depression, and anger, contributing to premature ejaculation. Alternatively, long-term marital conflicts and unhappiness can lead to liver qi stagnation, impaired blood and qi flow, and consequently, both premature ejaculation and impotence.

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