How should congenital premature ejaculation and erectile dysfunction be treated?

Patient's question:

I have been experiencing premature ejaculation for a long time. Sexual activity used to last only 2 minutes, gradually progressing to mid-course softness, and later developing into premature ejaculation. It has been 2 years now, and I can no longer engage in sexual activity. While I can still achieve an erection, it becomes soft instantly. There are no other discomforts in my body. I have taken various medications, including traditional Chinese medicine, patent medicine, massage ointments, etc. Some of the medications even caused me lower back pain. I have been to the provincial hospital and, but there has been no improvement.

Doctor's answer:

Your condition may be due to psychological factors or organic or functional inflammatory conditions such as neurological, vascular, endocrine, etc., leading to sexual dysfunction. It is recommended to have blood tests at the hospital to check sex hormones and blood sugar and lipids to further determine the cause. Currently, you can consider taking medication to treat erectile dysfunction. For patients with premature ejaculation, timely treatment can reduce the incidence of the condition. If left untreated, it may affect overall health. Therefore, patients should take medication promptly and avoid overexertion in daily life while paying attention to personal hygiene.

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