What are the factors that cause short erection and lack of firmness in sexual life?

Patient's question:

There is a history of hand masturbation, and the erection is not firm, it's over in a few minutes. Sometimes it even twitches a few times and wants to give up, holding the foreskin. Besides, there are dark spots on the high testicles. Is there one that is particularly large and can be squeezed out?

Doctor's answer:

Based on your description, it is highly considered that premature ejaculation may be the issue. Premature ejaculation is also known as erectile dysfunction, which refers to a condition where, in a relationship, at least for three months, a man's penis is not hard enough to insert into the vagina or cannot maintain its hardness to complete the entire sexual intercourse process. It is recommended that you pay attention to the hygiene of your external genitalia during sexual activity and maintain a regular sexual routine. Additionally, the acne on your testicles should be checked by a hospital as soon as possible for related examinations and active treatment. For patients with erectile dysfunction, timely treatment can reduce the incidence of the condition. If not treated in a timely manner, it may affect overall health. Therefore, patients should seek timely and symptomatic treatment, and pay more attention to self-care in daily life, avoiding spicy foods.

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