Is it a prostate disease, kidney deficiency, or sexual dysfunction?

Patient's question:

I am twenty-one years old this year. I have a long history of masturbation, but now when I actually have sex twice, I find that my erection is not firm and I ejaculate as soon as I touch the vaginal opening. What should I do? Besides that, I have frequent nighttime urination, and each time I feel as if I can't empty my bladder completely. When I masturbate, I also feel that my erection is not firm, I have premature ejaculation, and I feel weak in the waist after ejaculation. I have grown a lot of white hair on my head. My libido seems to have decreased significantly. In the past, I would get an erection when watching movies, but now I only secrete a little fluid and do not get an erection, or I get a weak erection. If I forcibly masturbate, I can still get an erection and ejaculate sometimes. The biggest problem is the issue of the urinary tract, as well as the problem of actual masturbation.

Doctor's answer:

According to your description, it is a sexual function issue. From the perspective of Traditional Chinese Medicine, the reason for this condition is quite complex, mainly because prolonged and frequent masturbation, as well as browsing inappropriate websites, have heightened your sexual arousal. As a result, during normal sexual activity, you may not be able to reach the additional level of excitement required, leading to an inability to achieve an erection. When you do manage to get an erection, it is due to the need for a very high level of sexual arousal, so even minor stimuli can cause premature ejaculation. The prostate can be stabilized, but the treatment period is generally long, and there is a high risk of recurrence after treatment. Therefore, during treatment, medication must be used according to the specific symptoms.

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