What are the causes of impotence?

Patient's question:

My boyfriend and I were having sex for the first time, and he was very nervous. He came very quickly. I kept reassuring him, but he believed it was due to his physical condition and lacked confidence. After that, every time we had sex, it lasted a short time. Also, he has had this habit for several years. Is this due to his physical condition or psychological reasons? How should it be treated?

Doctor's answer:

First, the situation you mentioned falls under the category of premature ejaculation, not non-premature ejaculation. Premature ejaculation refers to the inability to achieve an erection or a firm erection, or the inability to penetrate. Premature ejaculation refers to the inability of a man to control ejaculation during sexual intercourse or a sexual intercourse time of less than 2 minutes. Premature ejaculation has obvious psychological factors. The first time, it is very normal to have premature ejaculation due to excessive tension. However, if it cannot be understood correctly and forms psychological pressure, it will reflexively cause this situation to occur again in the future. Premature ejaculation can be stabilized, but the treatment process is generally slow, and it is easy to relapse after treatment. Therefore, during treatment, drugs must be used according to the symptoms. In addition, during treatment, it is recommended to develop good living habits and have a proper diet.

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