Patient's question:
Detailed medical condition and consultation purpose:I used to have a history of masturbation, approximately 10 years ago, with a frequency I considered average, about 5-6 times per month. Recently, I got married. My first sexual encounter was quite exciting but also a bit nervous. As a result, my penis did not fully insert into the vagina, nor was it fully erect, and I ejaculated. The second time was the same—my penis wasn’t hard enough to insert into the vagina, and I ejaculated again. I feel like there’s a problem and am feeling some pressure. The third time, no matter what I did, my penis remained soft. The fourth time, I ejaculated again while still in a relatively flaccid state. Am I experiencing impotence? Is this related to my past masturbation habits? But every morning when I wake up...
Doctor's answer:
The main causes of premature ejaculation are functional and organic factors. Functional factors are primarily psychological, such as tension before sexual activity, marital dissatisfaction in sexual life, and sexual anxiety, which can lead to increased excitation of the cerebral cortex central nervous system, causing premature ejaculation. Organic factors are more common in inflammatory conditions of the reproductive organs, such as prostatitis, orchitis, and seminal vesiculitis. If you experience any discomfort, it is recommended to promptly seek examination at a formal specialized hospital. After a clear diagnosis, timely symptomatic treatment should be administered based on the cause.