Does premature ejaculation still suffer from impotence now

Patient's question:

I didn't understand much when I was a child. I had frequent self-pleasuring, and it's been over fifteen years since I started, now I'm 22. Even in kindergarten, I was clueless and somehow knew how to use silk stockings to rub my penis for pleasure. Self-pleasuring has made it so that now I lose control and orgasm within ten seconds. My penis is hard when it's being sucked, but when I take it out to insert, it often becomes soft. In the past, even though I had premature ejaculation the first time, I was still able to focus and perform many more times afterward. Now, after the first ten seconds are up, I basically need two or three hours to fully recover, and I still need oral sex to get hard again. But even then, it might become soft again as soon as I take it out of her mouth. Is it ED? Morning erections aren't working either. They're often absent, even when they do occur, the hardness is at most medium, and they quickly go soft after a full night's sleep. I really want to commit suicide.

Doctor's answer:

The issue you mentioned is about the inability to maintain an erection, which is related to your long-term sexual activity. This can be checked, and you can also take medication for a period of time, such as Compound Xuanyu Capsules and Tadalafil. If the effect is good, you can focus on taking the medication. Generally, taking it for one month can stabilize premature ejaculation. However, the treatment period is usually long, and it is prone to recurrence after treatment. Therefore, during treatment, medication should be used according to the symptoms. Additionally, patients should avoid sitting or riding for long periods and pay more attention to personal hygiene.

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