What are the early symptoms of not ejaculation?

Patient's question:

Feeling nervous, I haven't had any energy all day, and I've lost all motivation for life. My mind is just... I can't focus at all, and I don't like interacting with others anymore. I'm still young, and I don't want to just give up like this. Tell me what I should do.

Doctor's answer:

This falls under sexual dysfunction! I roughly categorize the causes into pathological and non-pathological!
Pathological:
① Abnormality in the penile erection center
② Multiple sclerosis
③ Spinal cord tumor
④ Cerebrovascular accident
⑤ Phimosis
⑥ Urethritis
⑦ Epididymitis
⑧ Chronic prostatitis, among which prostatitis is the most common!
Non-pathological:
① Coldness in the relationship between couples
② Stress due to certain reasons
③ Excessive sexual frequency, keeping the erection center in a constant state of tension, leading to sexual dysfunction over time
④ Long-term masturbation (sexual domain change)
⑤ Excessive excitement or fear
⑥ Excessive physical fatigue or lack of energy
⑦ Insomnia and neurasthenia
Recommendation: Identify the cause before treatment! Occasional one or two instances of erectile dysfunction or premature ejaculation are normal—do not overworry! I suggest ruling out environmental factors such as stress, excessive excitement, fatigue, neurasthenia, or insomnia that may lead to shortened sexual activity! If it still persists, I recommend visiting a hospital for relevant examinations!

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