How to deal with erectile dysfunction and premature ejaculation?

Patient's question:

Doctor, male, 24 years old. Smoked for many years, often working overtime until 2-3 a.m., rarely drank beer. During intimate moments, he becomes hard, then softens shortly after, then hard again after adjusting, then soft when wearing a condom, and he's almost driving himself crazy... As a result, he now immediately penetrates when hard, without any foreplay. (There might be a psychological issue because he used to suffer from premature ejaculation and always tried to last longer, feeling a sense of pressure). Recently, during intimacy with his girlfriend, he became soft after putting on a condom, but she touched him, and he unexpectedly ejaculated. Sigh. What advice do you have, doctor? What medication should he take? Are there any physical treatments? Personally, he feels that psychological and lifestyle issues are the biggest factors, and he desperately seeks help from anyone who cares: What advice do you have, doctor? What medication should he take? Are there any physical treatments?

Doctor's answer:

The situation you mentioned is related to an increase in sexual function, which is closely tied to an individual's mindset. It requires appropriate adjustments to be implemented. Maintaining a positive mindset, preventing excessive stress, ensuring emotional stability, addressing daily issues, and maintaining a regular diet and lifestyle are important. Avoid smoking, alcohol, overtime work, and overexertion, as well as exposure to cold. Engage in moderate exercise to gradually stabilize and improve both physical and sexual function. Wishing the patient a speedy recovery and good health!

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