Patient's question:
I am 30 years old and have had the habit of masturbation since middle school. Now, the main symptoms are poor erection hardness and severe premature ejaculation. Sometimes, I ejaculate right after entering. I feel very sensitive. When I went to the hospital to get prostatic fluid, it was very difficult to extract. Only urine was tested, and the doctor said there is still some inflammation. I don’t know if the premature ejaculation is caused by prostatitis or due to physical weakness. I personally feel it might be kidney yang deficiency. Could it be a combination of yin and yang deficiency? I always feel cold, my hands and feet are cold, my complexion is pale, I have shortness of breath, lower back pain, and poor spleen and stomach health. Drinking a little water makes me urinate a lot, and I feel like I can’t empty my bladder completely. I have tried many kidney-tonifying decoctions and Chinese patent medicines, but the effects are not significant. Moreover, my sleep has been poor for several years.Doctor's answer:
There are many causes of sexual dysfunction, which can be categorized into functional and organic types. Functional sexual dysfunction accounts for the majority of cases and is characterized by disturbances in cerebral cortex function. It is typically caused by abnormal sexual habits (such as masturbation, excessive sexual intercourse) and abnormal mental states (such as fear, tension, fatigue). Organic sexual dysfunction is less common and is often due to spinal cord injuries that disrupt the function of the erectile and ejaculation centers, or chronic inflammation such as urethritis, prostatitis, epididymitis, etc., as well as neuroendocrine diseases, and penile abnormalities. It is recommended to seek medical attention. After undergoing specialized and professional examinations to confirm the diagnosis, symptomatic treatment should be administered.