How to deal with mild organic impotence

Patient's question:

I get an erection during sexual fantasies or when watching porn. Sometimes it's very hard and erect for a long time, and sometimes it's not very hard or erect. If my thoughts aren't focused, it gradually softens, and I need to stimulate it with my hand to maintain an erection. I have morning erections. I'm asking if a mild erectile dysfunction can still occur with morning erections when experiencing sexual fantasies and watching porn?

Doctor's answer:

Consider this with sexual dysfunction, functional sexual dysfunction accounts for the majority, as cerebral cortex dysfunction, usually caused by abnormal sexual habits (sexual intercourse, excessive sexual activity, etc.) and abnormal mental states (fear, tension, fatigue, etc.). Organic sexual dysfunction is less common, mostly caused by spinal cord injuries leading to dysfunction of the penile erection and ejaculation centers, or chronic inflammation such as: urethritis, prostatitis, epididymitis, etc. Premature ejaculation, excessive sexual activity, and neuroendocrine diseases, as well as penile inflammation itself, etc. It is best not to use medication to enhance virility, as the side effects are significant. It is advisable to consume more aphrodisiac foods in your diet.

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