Patient's question:
Has a sexual history of over twenty years. Intercourse lasts less than five minutes before ejaculation. Ejaculation occurs due to lack of control. Experiences excessive sweating in the summer. Wants to stop having sex, but after enduring it for a week, the lack of control leads to intense urges for sex. Inner suffering is unbearable. Additionally, sometimes having sex three times a day causes red spots to appear on the head of the penis. Currently, he refrains from having sex for a week. He doesn’t want to continue like this. Feels that sexual urges are not as intense as before. Is it possible to experience sexual apathy again?Doctor's answer:
Long-term frequent sexual activity itself can lead to sexual dysfunction, including recurring cases of erectile dysfunction and premature ejaculation. As you mentioned, the reappearance of red spots on the glans is usually caused by a fungal infection due to excessive foreskin, which is known as balanoposthitis. Currently, you should first abstain from sexual activity and adopt a healthy lifestyle with appropriate sexual habits. If you have excessive foreskin, you may consider undergoing surgery, which can also help reduce glans sensitivity and potentially shorten the duration of sexual activity. Premature ejaculation can be cured, but the treatment process is usually lengthy, and there is a high risk of recurrence after treatment. Therefore, medication should be used specifically for the condition during treatment. Additionally, patients should avoid prolonged sitting or riding and pay close attention to personal hygiene.