Erectile dysfunction, premature ejaculation, and getting soft after a while - what should I do?

Patient's question:

I and my wife have not been very harmonious in our sexual life. I often suffer from premature ejaculation and erectile dysfunction, as my erection quickly becomes soft. Additionally, we often argue about this. What should I do in this situation?

Doctor's answer:

Generally, premature ejaculation does not last more than one minute. If the sexual intercourse time exceeds five minutes, it is usually normal. There are also many reasons that can lead to premature ejaculation, such as excessive foreskin, prostatitis, psychological issues, and high sensitivity of the glans penis to the threshold of stimulation. In terms of treatment, it is necessary to conduct targeted examinations first to identify the cause of premature ejaculation before treating it accordingly. If premature ejaculation is caused by prostatitis, then targeted treatment for prostatitis should be administered, and premature ejaculation will gradually recover completely. For primary premature ejaculation, dapoxetine can be used for treatment.

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