Is it erectile dysfunction?

Patient's question:

Four or five years ago, the first time I had sex with my girlfriend again, I couldn't get hard. After she caressed me, I became hard. Later, every time I had to have her do something to get hard. Now, with my girlfriend, we can only rub against each other in the side position to get it in, but it's over very quickly! About past treatment and effectiveness: I haven't been treated, had a prostate exam, and it was fine. What kind of assistance do you need: Hello, what kind of treatment should I undergo?

Doctor's answer:

Erectile dysfunction refers to the inability to achieve or maintain an erection when sexually aroused, or the inability to maintain a sufficient level of hardness during masturbation for an adequate duration, thereby interfering with or preventing the completion of masturbation. There are several causes of premature ejaculation. One is psychological factors, such as emotional indifference between partners or stress due to certain reasons, which can lead to premature ejaculation. If masturbation is excessive, the erection center may remain in a state of tension over time, which can also result in premature ejaculation. Another is physical factors, such as abnormalities in the erection center. When important organs such as the liver, kidneys, heart, or lungs suffer from serious diseases,

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