Does high psychological stress cause impotence and premature ejaculation?

Patient's question:

I am currently in the entrepreneurial phase of my life. This year, in the first half, I started an advertising company, but the business is not doing well. I also feel a lot of pressure. Recently, even when I am with my wife, I have experienced symptoms of impotence and premature ejaculation.

Doctor's answer:

Erectile dysfunction and premature ejaculation refer to the symptoms where both conditions occur simultaneously. In fact, there is an intrinsic causal relationship between erectile dysfunction and premature ejaculation: long-term premature ejaculation in men can lead to increased psychological stress, which in turn can cause erectile dysfunction. Generally, through progressive delay training combined with guidance from a psychologist, the premature ejaculation issue can be addressed first. As a result, the associated psychological stress naturally disappears, and erectile dysfunction also resolves along with the reduction in psychological pressure.

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