How to treat functional impotence and premature ejaculation?

Patient's question:

I have always had the habit of sexual intercourse. Recently, I have been feeling lower back pain and muscle aches, and I feel weak all over. Especially, my penis cannot quickly get erect, and when I insert it into the vagina, I quickly reach orgasm without reaching climax. It is very embarrassing. I went to the hospital for a thorough examination, and the diagnosis was functional impotence and premature ejaculation.

Doctor's answer:

Erectile dysfunction refers to the inability to achieve or maintain an erection during sexual arousal, or the inability to maintain a sufficient level of hardness for an adequate duration of sexual activity, thereby interfering with or preventing successful sexual intercourse. There are many causes of premature ejaculation. One is psychological factors, such as emotional indifference between partners or stress due to certain reasons, which can lead to premature ejaculation. If sexual activity is too frequent, the erection center may remain in a state of tension over time, which can also result in premature ejaculation. Another is physical factors, such as abnormalities in the erection center.

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