Is it impotence or premature ejaculation?

Patient's question:

I am 30 years old this year, married for five years. Every time I have sex, it's very short, without any pleasure. I don't have a sexual habit, and I often have nocturia. Sometimes, just after urinating, I feel the urge to go again, but when I go, there's nothing. It's really annoying. I hope everyone can help me see what disease it might be and what I should eat? Thank you!

Doctor's answer:

Premature ejaculation refers to a condition where a man can achieve normal erection during sexual activity, but the time spent during masturbation is less than 2 minutes, and early ejaculation does not lead to the woman reaching orgasm. Common causes include: lack of sexual knowledge, psychological concerns or mental health issues, as well as organic inflammation such as overly sensitive glans, phimosis, urethritis, epididymitis, short frenulum of the prepuce, and chronic prostatitis. Generally, symptoms can be alleviated by psychological counseling, changing masturbation techniques, diverting attention, and quitting bad habits like masturbation to prolong ejaculation time. For severe premature ejaculation, surgical treatment may be an option. We recommend you visit the hospital for a follow-up to determine the cause of the blood loss.

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