What is the reason for the penis not being able to get erect during the first time?

Patient's question:

Detailed medical condition and consultation purpose: No matter how I tried to get an erection, I couldn't, even with my girlfriend's help. I'm a bit unsure if it's because of my own doubts or if it was due to being very tired those days.
I didn't sleep well that night. I was supposed to have sex that evening, and the more I needed it, the more difficult it became.

Doctor's answer:

Hello, it may be due to insufficient rest or psychological factors. You can try the following methods:
Phase 1: This is the stage of mutual caressing in non-genital sensitive areas. At this point, sexual intercourse is absolutely forbidden, and any desire to proceed with intercourse must be suppressed. Both partners can engage in caressing movements on non-genital areas, such as kissing, hugging, and stroking. This helps expand the scope of sexual activity between couples. Men will not feel the pressure to complete intercourse, and their penises often naturally become erect. The duration of this phase is best kept between 2 to 3 weeks.
Phase 2: Continue with no sexual intercourse as a prerequisite, but take it a step further than the first phase. After kissing, hugging, and stroking, you can explore the best stimulation points on the genital sensitive areas, such as the head of the penis, the frenulum, and the corona of the penis, to provide appropriate stimulation that induces an erection. This phase should also last for more than 2 weeks.
Phase 3: Based on repeated training in the second phase, the penis should be able to achieve a successful erection and maintain it for a certain period. With continuous mutual caressing, there may be a strong urge to insert the penis into the vagina and a frequent sense of impending pleasure or climax. At this point, use the "squeezing and releasing" technique: the wife places her thumb on the opposite side of the head of the penis, applies slight pressure for 3 to 4 seconds, and then suddenly releases it. After several repetitions, the feeling of impending ejaculation will disappear. Then, restart stimulation of the penis. Several cycles of stimulation and squeezing can prevent the climax and ejaculation from occurring. By controlling the number of stimulations and squeezes, you can regulate and prolong the erection time. This phase also requires about 2 weeks.
Phase 4: After going through the above three phases

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