Patient's question:
The last time I had sex with my girlfriend, I found it difficult to get erect. One time, it took me over ten minutes to get hard. Now, my relationship with my girlfriend isn't good. I want to ask how to deal with premature ejaculation at 25?Doctor's answer:
In your case, consider erectile dysfunction (ED). Common causes include penile vascular factors (insufficient arterial blood supply, venous leak dysfunction), endocrine factors (such as hypogonadism), certain systemic diseases (such as diabetes, hyperthyroidism), certain medications (such as estrogens, H2 receptor antagonists), and trauma. Treatment options often include etiology-based therapy, oral PDE5 inhibitors (such as tadalafil), vacuum pumps, corpus cavernosum anesthesia, extracorporeal shockwave therapy, and prosthesis implantation. It is recommended that you seek specific diagnosis and treatment from a urology or andrology department.