How to treat impotence

Patient's question:

I remember it was around 2003 when I noticed that the last few drops of my urine were slightly white, lasting for about 4 or 5 days. There were no other abnormalities during urination, and no further issues were detected afterward. I felt that about 4 years ago, my sexual pleasure had decreased, but my erections were still normal. Later, the intensity of my erections gradually reduced, and during ejaculation, it felt like it was happening unintentionally—there was no increase in thickness or hardness, and the pleasure diminished. Morning erections also decreased. In the past year, I've had occasional morning erections, and I can get erect with manual stimulation or friction against my wife's body, but the hardness isn't ideal, and I can complete intercourse with little pleasure. Is it related to my frequent sexual activity?

Doctor's answer:

Analysis of the condition:
Hello, based on your description, you are experiencing some issues during sexual intercourse, particularly during ejaculation, which is different from before, and you are concerned it might be erectile dysfunction.
Guidance:
I can tell you that this does not fall under the category of erectile dysfunction. This is because your genital erectile function is normal. Erectile dysfunction is characterized by the inability to achieve an erection, especially the absence of nocturnal or morning erections. Even if the penis can become erect, it cannot enter the vagina, meaning it becomes soft as soon as it approaches the vaginal opening. For reference only. Wishing you the best of luck!

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