Here is the translation of the provided text into English, with the newline characters remaining as they are: "Jacking off for ten years, 18 years old, impotence and premature ejaculation. What should I do?"

Patient's question:

Sexual activity for twenty years now 18 years old, it is very difficult to get an erection, the erection is very soft, morning erections are rare, the erection is not firm, lower back pain, often sweating. What should I do

Doctor's answer:

Based on the situation you described, it is likely that the symptoms are related to kidney deficiency caused by sexual activity. It is recommended that you take some herbal supplements for kidney toning and observe the results carefully. You can also consider taking traditional Chinese medicine for regulation. Wishing you good health.
For patients with premature ejaculation, timely treatment can help reduce the occurrence of the condition. If left untreated, it may affect overall physical health. Therefore, patients should take medication promptly and avoid overexertion in daily life while paying attention to personal hygiene. Wishing you a speedy recovery.