Patient's question:
Patient Gender: MaleDescription of Problem: Does not feel very excited during sexual activity
Doctor's answer:
Hello, according to your description, it is important to pay attention to functional impotence. The causes of impotence can be divided into two categories: primary impotence and secondary impotence. A condition where a person has never experienced ejaculation during awake states is called primary absolute impotence, which is caused by sexual ignorance or sexual inhibition. The causes of primary impotence are as follows:⑴ Sexual ignorance;
⑵ Psychological and emotional factors;
⑶ Factors related to the female partner;
⑷ Objective factors;
⑸ Anatomical factors. Excessive prepuce, preputial entrapment, pain, severe crista galli inflammation leading to atrophic changes, and the inability to effectively participate in the ejaculation process.
A person who has experienced ejaculation before marriage but has lost the ability to ejaculate due to certain reasons is called secondary impotence. The causes of secondary impotence are as follows:
⑴ Abnormally intense sexual impulses, where after reaching the peak, improper methods prevent ejaculation;
⑵ Masturbation, improper sexual activity, psychological factors, emotional factors, etc.;
⑶ Previously able to ejaculate normally, but due to intentionally prolonging the duration using methods like diverting attention, an excessive delay in ejaculation habit may develop, potentially leading to impotence in the end;
⑷ Organic causes, such as lesions in the lateral lobes of the brain, spinal cord injuries, conduction nerve disorders, and local lesions;
⑸ Other conditions like hypopituitarism, hyperthyroidism, acromegaly, and myxedema can also cause ejaculation disorders.
Medically induced causes can also lead to impotence, such as drug effects: drugs for treating hypertension like guanethidine and reserpine; drugs for treating neurasthenia or insomnia like methadoxine, can also cause this adverse reaction. Excessive consumption of cold-natured traditional Chinese medicine and alcoholism can also result in impotence.
It is recommended that you pay attention to hygiene, avoid masturbation, do not have intercourse too frequently, and alleviate your own psychological stress. If symptoms do not improve, seek medical examination and treatment early. Wishing you good health!