What are the initial symptoms of impotence?

Patient's question:

I am 40 years old this year. At this age, most men tend to have issues, either erectile dysfunction or premature ejaculation. I need to pay close attention now. I want to be a strong man. I wonder what the initial symptoms of erectile dysfunction or premature ejaculation are.

Doctor's answer:

Initial Symptoms
1. The onset is relatively rapid, with spontaneous erections of the penis. During sleep, upon waking, masturbation, or when sexually stimulated, the penis may become erect, but it fails to become erect when the desire for sexual intercourse arises. Alternatively, the penis may become rigid upon initial contact with a female body but becomes soft when attempting penetration. Additionally, mental symptoms such as anxiety, worry, depression, and fatigue may accompany the condition. Some may also experience premature ejaculation or failure to ejaculate during intercourse.
Initial Symptoms
2. The main manifestation is the inability of the penis to become erect under any circumstances. The onset is usually slower and tends to worsen progressively. Additionally, symptoms of corresponding organic diseases, such as diabetes, may be present. After understanding the early symptoms of erectile dysfunction in men, it is also necessary to diagnose whether it is true erectile dysfunction.

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