How to treat impotence and premature ejaculation caused by masturbation?

Patient's question:

Twenty years of long-term sexual relationship, divorce, still sometimes have sex after divorce, now powerless, hard but not sharp, ejaculation in one minute.

Doctor's answer:

The decline in male sexual function and the improvement in physical fitness are related to factors such as high stress, tension, and anxiety. You can first try to adjust yourself, change unhealthy lifestyle habits, quit smoking and drinking, maintain a regular sleep schedule (early to bed and early to rise), and engage in daily physical exercise. Choose to have intercourse when you feel energetic, physically fit, and in a good mood, and extend the foreplay time. Premature ejaculation can be alleviated, but the treatment usually takes a long time and is prone to recurrence after treatment. Therefore, during treatment, medication must be used according to the specific symptoms. Additionally, it is recommended to maintain a healthy lifestyle and have a balanced diet during the treatment period.

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