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 the 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: 1 month
Current general condition: Difficulty getting 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) typically refers to the inability to achieve or maintain an erection sufficient for vaginal penetration and the completion of sexual intercourse. It is a sexual dysfunction characterized by the inability to achieve or maintain an erection firm enough for vaginal penetration, making it difficult to engage in sexual intercourse and complete the entire process.
According to domestic and international survey data, approximately 10% of adult males suffer from erectile dysfunction, and the prevalence increases with age. In other words, out of every ten couples, one pair may experience dissatisfaction in sexual intercourse due to ED. This is a significant proportion. The causes of erectile dysfunction 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 medication-induced ED.
Some individuals may mistakenly believe they have ED after one or two unsuccessful sexual encounters, or even if their penis becomes flaccid during the "absolute refractory period" after ejaculation for the first time. After seeing certain advertisements or being misled by quacks, they may seek medical treatment everywhere or develop psychological disorders. However, after a thorough medical examination, it is found that they do not actually have ED and do not require any treatment. In fact, about half of men experience similar issues as they age. Sometimes, newlyweds may fail due to excessive excitement on their wedding night, losing control and failing to achieve their goals. Alternatively, excessive fatigue from planning the wedding or exhaustion from travel during the honeymoon can also lead to failure. These issues usually resolve after rest and adjustment, and normal sexual function returns. These situations should not be considered ED. Therefore, current international experts tend to believe that unless the inability to achieve or maintain an erection prevents sexual intercourse in most cases, it should not be classified as ED and does not require