How to distinguish between impotence and psychogenic impotence

Patient's question:

What is the difference between premature ejaculation and psychogenic premature ejaculation? Last year, I started taking afternoon naps and going to bed at night, and I was always erect. Sometimes, I would randomly get erections in the morning, noon, and evening. Can ultrasound thoroughly examine this?

Doctor's answer:

Under normal circumstances, most cases of premature ejaculation are caused by psychological factors. This means it is brought on by mental and psychological factors, such as schizophrenia. If there is nocturnal erection or a history of erectile dysfunction, it can help rule out organic premature ejaculation, such as hypertension or diabetes. You can have your blood glucose, lipid, blood pressure, and testosterone levels tested at the hospital. An ultrasound can help determine if you have vascular premature ejaculation.

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