How to deal with a bad habit of spitting and poor sexual function?

Patient's question:

Doctor, I'd like to ask, I'm 35 years old this year, male, I usually cough up phlegm. Phlegm is abundant. Sometimes it is, sometimes it isn't. My sexual function isn't particularly good, it's just that the time of sexual life is relatively short, and sometimes it gets soft in the middle. I don't know if these symptoms mean there's a problem with my body?

Doctor's answer:

Yes, in your situation, it is indeed necessary to consider the possibility of physical abnormalities. It is important to first pay attention to the possibility of male sexual dysfunction. However, further careful examination must be conducted to gather evidence before making a decision. Therefore, it is recommended that the patient visit a local reputable private hospital for a follow-up consultation in the urology department. It is not advisable to decide on a private andrology hospital for the follow-up. After the follow-up consultation, the patient should first explain their intentions to the attending physician. Subsequently, tests such as blood hormone levels, thyroid function tests, and cavernous vascular color Doppler ultrasound should be performed. Based on the results of these examinations, it can be determined whether it is appropriate to use phosphodiesterase type 5 (PDE5) inhibitors for treatment.

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