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 intimacy, he was hard, then soft again, then hard again after adjusting, then soft after putting on a condom. He was almost crazy... As a result, he would immediately insert himself as soon as he was 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 thinks the main issues are psychological and lifestyle-related. Seeking 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 greatly influenced by an individual's mindset. Proper adjustment is necessary. Maintain a positive attitude, prevent excessive stress, ensure emotional stability, address daily issues, and maintain a regular diet and lifestyle to avoid smoking, alcohol, overtime work, overexertion, and exposure to cold. Engage in appropriate exercise to gradually stabilize and improve both physical and sexual function. Wishing the patient a speedy recovery!

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