How to solve impotence and premature ejaculation?

Patient's question:

Medical history: Have not taken any medication, have not seen a doctor, 22 years old, it has been five or six years, I have impotence and premature ejaculation, what should I do?
Past treatment history and effectiveness: Have not been treated
Desired help: Where should I go to see a doctor?

Doctor's answer:

Currently, the common methods for treating erectile dysfunction (ED) and premature ejaculation (PE) include Western medicine and traditional Chinese medicine. In Western medicine, drug therapy is relatively common. Among these, phosphodiesterase type 5 (PDE5) inhibitors can treat ED and PE. Sildenafil, vardenafil, and tadalafil are all commonly used drugs for treating ED and PE. PDE5 inhibitors are a class of drugs that induce erections, and they may cause some side effects in male patients. Additionally, caution is advised when using these drugs in men with cardiovascular diseases, and long-term use is not recommended for ED and PE patients.
Another effective treatment for ED and PE is androgen therapy. For patients with low testosterone levels, treating ED and PE can involve combining androgen therapy with PDE5 inhibitors. However, hormone-based drugs may have side effects, and patients choosing this treatment should pay attention to the dosage and usage.

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