What is the reason for the penis not being hard during sexual intercourse and ejaculation after a few thrusts?

Patient's question:

Currently, in general: I am 18 years old and have a habit of masturbation. Recently, when I had sex with my girlfriend, I was not hard every time, even when I was hard, it was very soft. Even when she masturbated me, I started masturbating at the age of 16, about 4-5 times a week. In these past few days, when I had sex with her, every time I only managed to thrust a few times before ejaculation. Please tell me if I have a disease?

Doctor's answer:

If this condition persists for a long time, it falls under the category of premature ejaculation. The causes of premature ejaculation are complex, including congenital abnormalities of the external genitalia, phimosis, inflammation of the glans or foreskin, urethritis, balanitis, multiple sclerosis, spinal tumors, cerebrovascular accidents, epididymitis, chronic prostatitis, etc., all of which can reflexively affect the spinal cord center, leading to premature ejaculation. Excessive masturbation, certain systemic diseases, and weakened constitution can also cause dysfunction of sexual function and result in premature ejaculation. Moreover, if premature ejaculation is not treated in a timely manner, it can lead to erectile dysfunction. Depending on the specific cause and condition, treatment methods and medications may vary. It is recommended that you come to our andrology department for examination and treatment to clarify the condition and achieve early recovery.

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