Here is the translation of the provided text into English: "Self-abuse leading to impotence and premature ejaculation - what medicine is good to take?" Note: The line breaks ("") are preserved as per your instructions.

Patient's question:

Here is the English translation of the provided text, with the specified requirements followed:
"There is a 10-year history of sexual activity, previously frequent but now severely restricted. The last month has been without any sexual activity. Currently, even with minimal friction during intercourse, ejaculation occurs without achieving full hardness, and it never becomes very hard. However, manual stimulation still allows for full hardness and prolonged endurance. The issue is that intercourse fails to achieve hardness, or if it does, it softens within minutes. The hardness achieved is not the kind that becomes very firm—it’s more like soft hardness. But during manual stimulation, it remains very hard and can stay hard for a long time. The problem is specifically with achieving hardness during intercourse.
"I am not divorced, and there is no regular sexual activity because intercourse is currently not possible. I have not taken any medication yet. There is foamy urine and morning erections.
"Hello, is there any medication that can help? Can this be cured? What should I pay attention to in daily life? Most importantly, what medication should I take to stabilize the condition? Thank you very much, doctor."
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Doctor's answer:

Sexual intercourse will never cause premature ejaculation, and it will never cause premature ejaculation. Excessive sexual activity can lead to kidney qi deficiency, which may result in premature ejaculation again. You should normally restrain the frequency of sexual intercourse to no more than twice a week, take many herbal supplements to replenish kidney qi and invigorate the body, exercise to strengthen your physical fitness, and maintain a regular diet. Premature ejaculation can be cured, but the treatment process is usually slow, and it is prone to recurrence after treatment. Therefore, during treatment, medications should be used according to the specific symptoms. Additionally, patients should avoid sitting or riding for long periods and pay close attention to personal hygiene.

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