Masturbation leading to impotence, becoming soft immediately upon intercourse—is it premature ejaculation?

Patient's question:

Yesterday, I had sex with my lover, but I softened after penetrating for a while. Then he helped me get hard again, and this happened repeatedly three times. I started questioning whether I had premature ejaculation. I have a very serious sexual habit—just the day before yesterday, I had sex twice. The only difference was that I was very excited yesterday because it was my first time having sex with a woman other than my ex-wife after my divorce. What could be the reason for this? Thank you. If it really is a problem, what should I do?

Doctor's answer:

Young male, complaining of short ejaculation time during intercourse and difficulty in erection. Please pay attention to the following points.
① Based on your description, premature ejaculation and erectile dysfunction are considered. Consider the possibility of long-term sexual activity leading to this condition.
② It is recommended to improve the examination of prostatic fluid to check for the possibility of prostatitis.
③ If necessary, return for specialized follow-up, while gradually adjusting. The condition of premature ejaculation is prone to recurrence, requiring long-term medication treatment.
For male patients, it is important to seek medical attention immediately at a professional and reputable hospital. Treatment should be considered based on examination results. Additionally, it is important to quit smoking and drinking, and pay attention to personal hygiene.

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