What are the symptoms of erectile dysfunction?

Patient's question:

Now my penis cannot get erect or can get erect but is not hard, unable to perform sexual intercourse movements and again experience sexual difficulties. Is this premature ejaculation? I'm only 40, and this is not okay. What are the symptoms of premature ejaculation, and how should it be treated?

Doctor's answer:

(Normal): Libido is normal, erection response is rapid, erection duration can last until ejaculation or disappear after intercourse interruption, erection hardness allows free insertion into the vagina, sexual pleasure is good, sexual frequency has not significantly changed, erection response is rapid, erection duration is unstable, sometimes unable to sustain, erection hardness sometimes unable to be inserted into the vagina, sexual pleasure is basically normal, and pay attention to self-care, proper diet, and avoid cold foods.

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