What are the symptoms of impotence?

Patient's question:

My situation is unclear why it went down, and I can't enjoy it smoothly with her either. Is this premature ejaculation?

Doctor's answer:

Premature ejaculation refers to a condition where the penis cannot achieve an erection, or the erection is not firm enough, or it remains firm but does not last long enough to complete normal sexual intercourse. It is one of the most common male sexual dysfunctions.
Psychogenic premature ejaculation: This type of premature ejaculation typically occurs suddenly. The penis may spontaneously erect during sleep, especially during deep sleep or upon waking, or when engaging in sexual thoughts or fantasies. However, when the individual attempts to have sex, they cannot achieve an erection. Alternatively, the penis may become rigid upon initial contact with the female body but becomes soft when attempting penetration. Additionally, it may be accompanied by mental symptoms such as anxiety, worry, depression, or fatigue. Some cases may also involve premature ejaculation or an inability to orgasm during intercourse.

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