Patient's question:
Detailed medical condition and consultation purpose: I got married at the age of 25. Due to marital problems, my body somehow developed erectile dysfunction. I have seen doctors multiple times, who said I have kidney deficiency, and I have taken a lot of Chinese medicine, but none of them have improved my condition. During sexual activity, it is very difficult for me to get an erection. If I force it, I end up ejaculating without achieving an erection, and my body also sweats. I don’t know what caused this. I want to know how it can be treated?Duration of current illness and persistence: 1 month
Current general condition: Difficulty achieving an erection
Medical history: I have never had any serious illnesses and have never had any sexually transmitted diseases.
Doctor's answer:
HelloFirst of all, let me clarify that in this situation, it is not advisable to take medication indiscriminately.
Erectile dysfunction (ED) generally refers to the inability to achieve an erection, or the ability to achieve an erection but with insufficient firmness or duration, making it difficult to insert into the vagina and complete the sexual act.
According to domestic and international survey data, approximately 10% of adult males suffer from ED, and the prevalence increases with age. In other words, out of every ten couples, one pair may experience dissatisfaction in sexual life due to ED. This is a significant proportion. The causes of ED are relatively complex, with psychological factors playing a major role. Modern sexual medicine generally categorizes ED into psychological (also known as psychogenic or functional), vascular, neurogenic, endocrine, and drug-induced ED.
Some individuals, due to one or two unsuccessful sexual encounters, or even experiencing a "absolute refractory period" after the first ejaculation where the penis becomes flaccid, may see certain advertisements or be misled by quacks and believe they have ED. As a result, they may seek medical treatment everywhere or develop psychological disorders. However, after a thorough medical examination, it is found that they do not have ED and do not require any treatment. In fact, about half of middle-aged men have similar experiences. Sometimes, newlyweds may also fail due to excessive excitement on their wedding night, losing control, or achieving too quickly. Or they may be too exhausted from planning the wedding or from travel fatigue during the honeymoon, leading to failure. After rest and adjustment, their sexual life returns to normal. These situations should not be considered ED. Therefore, current international experts tend to believe that unless the inability to achieve an erection or poor erection cannot fulfill sexual intercourse in most cases after excluding the partner factor, it can be considered ED and requires