Patient's question:
I was sick at home for a year a year ago because I had a car accident. During this year, I never had sexual activity, but sometimes I couldn't control myself and had sex. After I recovered, I found it difficult to get an erection when having sex with my wife. I am likely suffering from premature ejaculation.Doctor's answer:
Initial symptoms of spiritual premature ejaculation: The onset is relatively sudden, with spontaneous erections of the penis occurring during deep sleep at night or upon waking, as well as during sexual activity or when fantasizing about sex. However, when attempting to engage in sexual intercourse, the penis fails to become erect. Alternatively, the penis may become rigid upon initial contact with the female body but becomes soft when attempting penetration. Additionally, mental symptoms such as anxiety, worry, depression, and fatigue may accompany the condition, and in some cases, it may be accompanied by premature ejaculation or an inability to achieve ejaculation during intercourse.Initial symptoms of organic premature ejaculation: The primary manifestation is the inability of the penis to become erect under any circumstances, with the onset typically being slower and progressing progressively worse.