Patient's question:
Premature ejaculation, insufficient hardness during erection, daily morning erections, difficulty urinating (splitting, hesitation, incomplete emptying) may be related to early sexual activity. Now that I have abstained, it still persists. Two years ago, I visited a urological specialist and spent a lot of money, but it had no effect. Now, I still experience the same symptoms, with discomfort in my waist whether standing or sitting. I don't smoke or drink beer, and I usually nap around 11 PM. My appetite is fine, but I sweat easily in my palms and soles, and I often feel irritable and restless. I have dry mouth and a bit of bad breath, and my deep sleep is okay. Occasionally, I experience nocturnal emissions, but my libido is high, yet sexual activity is rare. Insertion is difficult, and I don't get fully hard after ejaculation. I don't know which department to visit at the hospital—should I see a doctor for premature ejaculation, lower back pain, prostate issues, or both? I'm very distressed and don't know where to start.Doctor's answer:
According to the situation you described, it should be considered that the majority of the functional issues are related to psychological factors. The main difference between organic and functional conditions lies in whether there are normal morning erections and nocturnal erections. Currently, it is mainly about increasing feelings of depression and tension, and maintaining a pleasant mood. During sexual activity, don't hurry—go slow. At the same time, it's important to strengthen exercise. This can help stabilize your symptoms significantly. Additionally, during the treatment of premature ejaculation, the patient's dietary condition and care are also very crucial. Patients must pay attention to their diet and eat more light foods to avoid unnecessary harm. I hope the above answer can help you. Thank you.