Patient's question:
I've recently been feeling increasingly unable to perform sexually with my wife. Although it's natural for energy to decline as one gets older, not being as energetic as young men, I've always been decent in bed and have never experienced what I'm going through now—feeling sexually aroused but lacking the ability to sustain it. At night, I keep restless, and even when my penis is already hard, it goes soft after insertion. I'm really worried that I might be suffering from premature ejaculation.Doctor's answer:
The early symptoms of premature ejaculation are primarily manifested as follows: In men with sexual desire, the penis cannot become erect or can become erect but is not firm enough to perform sexual intercourse, leading to sexual difficulties. Those who completely fail to achieve an erection are referred to as having complete premature ejaculation, while those who can achieve an erection but do not have the sufficient firmness required for sexual intercourse are termed incomplete premature ejaculation. Premature ejaculation that occurs after the start of growth and development is called primary premature ejaculation. Although it frequently occurs, if the penis can become erect in the morning or during sexual activity and maintain it for a period, it is often caused by psychological factors. There are several treatment methods for premature ejaculation, but since the condition varies among patients, the diagnostic approach also differs. Therefore, patients need to undergo timely and thorough examination and diagnosis to receive appropriate treatment.