Patient's question:
Recently, my wife and I haven't been having any good sex life at all. My wife is very angry and regretful. But I feel too embarrassed to go to the hospital. How could I be suffering from premature ejaculation at such a young age? My wife never reaches orgasm during sex.Doctor's answer:
Sexual dysfunction can be classified into psychological, organic, and mixed ED based on the cause. Organic ED can be further divided into vascular (arterial, venous, and mixed), neurological, endocrine, and anatomical types. A comprehensive treatment approach for erectile dysfunction is necessary: first, it is essential to modify unhealthy lifestyle and psychosocial factors, seek counseling on sexual techniques and knowledge, change medications that may cause ED, and treat relevant organic diseases that lead to ED, such as androgen deficiency, which can be addressed with androgen supplementation. Direct treatments for ED include psychological therapy, such as couple-based behavioral therapy.