Does smoking cause impotence?

Patient's question:

A while ago, I happened to chat with a friend, and he mentioned that he had recently been experiencing premature ejaculation during sexual intercourse with his wife. It was frequent, with each session lasting shorter and shorter. Sometimes, he would climax as soon as he started. The other day, he tried to have sex, but he couldn't get hard and ended up with premature ejaculation. He has always smoked and, on average, consumes more than two packs of cigarettes per day.

Doctor's answer:

In the international medical community, it is undeniable that nicotine in cigarettes can destroy the quality of male sperm, leading to premature ejaculation. Its harm to male sexual function is even more severe than alcohol. Depression is also a contributing factor to premature ejaculation. Therefore, men who frequently smoke to relieve stress should be cautious about their sexual function. Men who are accustomed to smoking should quit, and those with long-term mood problems should take medication under the guidance of a doctor, being careful to use antidepressants cautiously, as most antidepressants carry the risk of causing premature ejaculation. Premature ejaculation has a significant impact on patients. Once symptoms are noticed, it is important to seek medical attention promptly and pay close attention to self-care, including eating more fruits and vegetables and avoiding foods. It is hoped that premature ejaculation patients can receive professional treatment.

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