Can recent weak erections be diagnosed as erectile dysfunction?

Patient's question:

I am 22 years old and have about 6 years of sexual experience! In the past year, I have been more restrained! But recently, when having sex with my girlfriend, I have been experiencing some symptoms of weak erection. Sometimes, before even starting, my erection has already softened, and occasionally, even after penetrating, I finish quickly! I also feel that my urine is not as strong as it used to be. I don’t know how serious this is! When watching porn at home, I can still get a normal erection, and I occasionally experience morning erections as well! I’m worried that this will still be the case when I get married next year. I’d like to ask the doctor what I should do about this~ I’m concerned whether it’s something like kidney deficiency, and if there’s anything I can take to supplement it! Since I’m not married, I don’t really want to go to an urology hospital for a thorough check-up~ I’m desperately seeking the doctor’s detailed advice!

Doctor's answer:

Frequent sexual activity can lead to penile arterial damage, arterial stenosis, and other issues, making it difficult for the penis to become erect, which in turn causes psychological disorders. This difficulty in achieving a firm erection can eventually lead to erectile dysfunction, causing psychological factors such as tension, stress, depression, and anxiety. This further exacerbates premature ejaculation, ultimately forming a vicious cycle of "sexual activity-organic-psychological-erectile difficulty." From the perspective of a complete cure, it is advisable to first increase the frequency of sexual activity to once or twice a week, and take oral products that help repair vascular damage and enhance blood flow, such as ginseng saponins Rg3 products (e.g., Panax Ginseng).

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