What Western medicine is better for treating impotence and premature ejaculation?

Patient's question:

Increase morning erections, during sexual intercourse, after inserting into the vagina less than one minute or two minutes, it becomes weak and unable to achieve ejaculation. During the second sexual intercourse, it is difficult to get an erection, even if it gets erected, it becomes soft while doing it. Does this person have erectile dysfunction and premature ejaculation? What Western medicine can be used to regulate it?

Doctor's answer:

In this case, if the time of the first sexual intercourse is short, it is a phenomenon of premature ejaculation. The second occurrence of difficulty in achieving an erection is a normal phenomenon, because after the first sexual intercourse, the genitalia enter a refractory period, so it is normal to be unable to have normal sexual life. For the treatment of premature ejaculation, the main approach is to treat the cause according to the symptoms. For example, if it is due to excessive sensitivity, many drugs can be used to reduce sensitivity. If there are urogenital system diseases, these diseases need to be treated.

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