Patient's question:
Detailed medical condition and consultation purpose: Previously, sexual activity occurred approximately three times a week, but the situation was not very good. Although there was an orgasm, he almost always sweated profusely and felt weak in his limbs each time! In recent weeks, he seems to have lost interest in sex, with activity occurring about twice a month, and all of them were initiated by me! When we finally do it, he finishes quickly, within five minutes, with only a small amount of sweating! I am very distressed about this! Please ask: Is this condition related to kidney deficiency or premature ejaculation? What is the cause?Doctor's answer:
A. Age Factor: After the age of 50, sexual desire tends to gradually decrease as one grows older. This is an objective law of sexual aging, but the fluctuation in sexual desire is very significant. It varies greatly among different ethnic groups, different periods, and different environments.B. Psychological Factors: Some individuals, due to a lack of sexual knowledge, may experience a decline in sexual desire as a result of failed masturbation or first sexual intercourse. They might believe that "one drop of semen is equal to ten drops of blood," viewing semen as precious and feeling regretful, which can lead to incomplete ejaculation during intercourse. Over time, these individuals may gradually reduce or completely lose their sexual desire. Other causes include marital disharmony or consistently poor sexual compatibility, fear of pregnancy or childbirth, incorrect views on sex, or, conversely, guilt or psychological trauma resulting from past sexual mistakes, all of which can inhibit the excitement of the sexual desire center in the cerebral cortex.
C. Medical Factors: Physical weakness, excessive fatigue, and chronic diseases, especially those affecting endocrine function, such as insufficient testosterone production by the testes, can all lead to a decline in sexual desire.