What should I do about decreased libido, penis shrinkage, and premature ejaculation?

Patient's question:

What is the reason for the penis shrinkage in the past two years? The glans is highly sensitive, and libido has decreased. Previously, the glans was exposed outside, but now when it swells, you need to pull it out to urinate. How to solve this problem?

Doctor's answer:

A 13-year-old male is experiencing a recurrence of decreased libido and penile atrophy, in addition to premature ejaculation. What could be the cause? In your case, the first consideration should be chronic prostatitis. It is necessary to undergo laboratory tests for diagnosis. I recommend going to the hospital for relevant tests to confirm the diagnosis, and then treat it accordingly based on the test results. The condition of premature ejaculation is prone to recurrence, requiring long-term medication maintenance.

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