Is this erectile dysfunction? What are the causes? Thank you

Patient's question:

Penile hardness is not enough, it is very hard at first, but it becomes soft when inserted into the vagina, and it remains soft even when changing positions. What is the reason? And what is the history of previous treatments and their effectiveness: No treatment has been done. What kind of assistance would you like: What medicine should I take? Thank you, expert

Doctor's answer:

Erectile dysfunction refers to poor rigidity of the erection, difficulty achieving an erection, or the occurrence of flaccidity after non-ejaculation during sexual activity. Premature ejaculation often accompanies a certain degree of recurrent premature ejaculation. It is characterized by a short sexual duration and uncontrollable rapid ejaculation. From a symptomatic perspective, erectile dysfunction and premature ejaculation can be attributed to abnormal nerve conduction and blood circulation in the penis. Further diagnosis of the specific cause can be conducted through sexual function tests. In clinical diagnosis, erectile dysfunction and premature ejaculation caused by factors such as masturbation, excessive foreskin, prostatitis, and alcohol consumption are also common. In particular, chronic prostatitis has become a primary cause of male erectile dysfunction and premature ejaculation in recent years.

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