What are the reasons that cause male impotence?

Patient's question:

Doctor, I would like to consult. I am a bus driver, and it may be due to work reasons. Currently, I am experiencing premature ejaculation and erectile dysfunction. Regarding intimate life with my wife, I would like to consult about what causes premature ejaculation in men. Previously, the main issues were frequent urination, urgent urination, and incomplete urination, but this situation has not recurred.

Doctor's answer:

I feel that ED (Erectile Dysfunction) and PE (Premature Ejaculation) definitely require further and more thorough examinations, especially when one cannot enjoy sexual life with their partner, as this may indicate sexual dysfunction. Apart from this, it could be due to incorrect methods or sexual activity lasting less than a minute before ejaculation. Sudden penile limp during sexual activity is also a standard symptom of ED and PE. Currently, frequent urination, urgency, and incomplete urination are related to the prostate.

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