Can impotence and premature ejaculation be cured after taking medication and showing improvement?

Patient's question:

On the 20th or so of last month, premature ejaculation reappeared. It became hard right before sex but immediately went soft, making it impossible to penetrate. Now, it gets hard in the middle of the night while sleeping, and sometimes it gets hard just before going to bed. It's not hard during the day, and there's no sexual sensation at all. In the past, I also had premature ejaculation, but it improved after taking some herbs to replenish yang deficiency.
Is this premature ejaculation? Can it be treated?

Doctor's answer:

Erectile dysfunction (ED) 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 intercourse. There are several causes of ED, and it is crucial not to self-medicate with warming tonics if you have the condition. Treatment should be based on a differential diagnosis by a healthcare professional. There are many medications available for treating ED, but it is best to consult a doctor for proper diagnosis and medication. Consuming foods that support kidney health and essence, such as oysters, walnuts, chestnuts, soft-shell turtles, clams, pigeon eggs, and pig kidneys, can be beneficial. For ED patients, timely treatment can reduce the risk of complications, while delayed treatment may affect fertility. Therefore, patients should seek timely medical treatment and maintain a regular sexual life while avoiding prolonged sitting.

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