Premature ejaculation, insufficient hardness - what are the reasons

Patient's question:

I have premature ejaculation and insufficient hardness. In addition to prostatitis, after a thorough examination at Jiefang Hospital, they recommended surgery, with the cheapest option costing 7,600. However, the urologist advised me to undergo medication treatment, with the cheapest option being 2,000 per session and a better option costing 4,000, which still does not guarantee that it will work after many sessions. The examination revealed that nerve damage is causing my premature ejaculation. Now, what should I do in my current situation? The costs are too high, and it is not guaranteed to be effective.

Doctor's answer:

Erectile dysfunction refers to the inability of the penis to become erect or to complete sexual intercourse successfully. It refers to the condition where the time during intercourse is less than 1 minute or ejaculation occurs before sexual intercourse has even begun. Both have long been stubborn conditions in urology because the causes are complex and diverse. In addition to age factors, psychological factors, and pathological reasons such as veno-occlusive disease, there is no standard treatment plan. For severe psychological issues, anti-anxiety medications may be prescribed. Therefore, patients should seek timely medication treatment and pay attention to self-care in daily life, avoiding spicy foods.

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