Patient's question:
Hello, below are my symptoms. Please help me determine what the problem might be:Background: My sexual life is not very regular because my wife and I live in different places. We come together to stay for a few months every year. When I came this year, sexual performance was okay, with the duration generally around 20 minutes. However, I’ve always felt a lack of hardness, and morning erections are also rare. Other aspects of my life (such as appetite, bowel movements, and urination) seem normal, except that I don’t have much appetite in the morning. Additionally, when urinating, it takes about one to two seconds to start. I’ve checked for symptoms of prostatitis and compared them. Except for reduced libido, none of the other symptoms match my situation.
Symptoms:
1. Recently (over the past one or two weeks), my sleep has not been very good, and I don’t feel refreshed after waking up. I used to dream very little, but lately, I’ve been having occasional dreams at night.
2. Low libido and difficulty achieving an erection (this issue started about three months ago, before my wife returned home). Strong oral stimulation is needed to achieve hardness, while general caressing is not as effective. After ejaculation, the erection quickly softens. Sometimes, even when I’m clearly aroused, it’s still difficult to get an erection, and when I do, it’s not very firm.
Doctor's answer:
The symptoms you mentioned are related to impotence and premature ejaculation, which are associated with your deficiency of kidney essence. Treatment should focus on replenishing the kidneys, nourishing essence, and strengthening the kidneys. Medications such as Wuzi Yanzong Wan and Nanbao Capsules can be taken for this purpose.As everyone knows, erectile dysfunction can cause significant harm to patients, so it is important to seek treatment as soon as possible. In daily life, attention should be paid to dietary issues—avoid spicy foods and maintain a balanced diet. Additionally, regular follow-up visits can be scheduled when necessary.