How to deal with inconsistent erection duration in ED?

Patient's question:

Penis, erection duration is unstable, hard but not down, impotence and premature ejaculation, long-term insomnia at night, used to have frequent sexual intercourse

Doctor's answer:

According to the description, if you have phimosis, it is advisable to have the surgery performed promptly to avoid repeated infections. For erectile dysfunction and premature ejaculation, timely medication treatment should also be administered. It is recommended to go to a formal hospital's urology department for a detailed examination. After identifying the cause, medication treatment can be carried out under the guidance of a doctor. The daily treatment for premature ejaculation patients primarily involves symptomatic treatment. Patients can take various oral medications, supplement with vitamins, and pay attention to self-care, proper diet, and avoid cold foods.