What are the causes of impotence and premature ejaculation?

Patient's question:

What diseases reappear when people reach middle age? Recently, my sexual life hasn't been very good, a bit of impotence and premature ejaculation. Maybe it's because of the exhaustion from training. My wife gave me some supplements, but after taking them, there was still no significant improvement. What are the causes of impotence and premature ejaculation?

Doctor's answer:

Hello: Premature ejaculation is when the erect penis does not enter the vagina or enters the vagina shortly after and quickly ejaculates, unable to make the woman reach orgasm, causing sexual intercourse to be unable to continue. If the penis ejaculates before entering the vagina, without any mutual contact, it is considered severe premature ejaculation. Treatment primarily focuses on addressing the underlying cause with targeted therapy. The causes include: psychological factors, prostatitis, excessive foreskin, high nerve sensitivity, endocrine disorders, etc. Different causes require different treatment methods. It is recommended that you visit the sexual dysfunction department of a hospital for a thorough examination to identify the specific cause and condition, so that targeted treatment can be administered to achieve a complete recovery.

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