What is the difference between a hard but not firm erection and impotence and premature ejaculation?

Patient's question:

I never last more than 10 minutes during sexual activity. Sometimes, if I don't climax, I lose my erection. I've had surgery once before, and I wonder if it has something to do with that.
What kind of help I'm looking for: I'm still quite young, and it's really embarrassing for me to go to the hospital for this condition. Could you suggest some treatment methods or medications?

Doctor's answer:

There are many reasons for premature ejaculation, and additional strategies should be adopted based on different causes. First, it is important to popularize sexual techniques. A comprehensive understanding of the sexual history of different couples is necessary, combined with the specific circumstances of the patient to provide guiding advice and eliminate psychological anxiety. The time for pre-coital comfort is essential. The male should appropriately focus his attention and avoid excessive tension. Both partners should work well together, adopt various methods of treatment to shorten the time to initiate ejaculation, and coordinate with medication.

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