Patient's question:
I recently don't know what's going on, my lower body is very uncomfortable, and I'm not getting morning erections anymore. Can primary erectile dysfunction and premature ejaculation be treated?Doctor's answer:
Hello, impotence and premature ejaculation are just symptoms, with many possible causes such as nerve issues, vascular problems, congestion in the corpus cavernosum, endocrine disorders, and high sensitivity of the glans. Mainly, some antidepressants and sedatives are used for organic lesions, while antibiotics are prescribed to treat the underlying disease. Anesthetics or similar medications may also be used to reduce glans sensitivity. If necessary, consult a traditional Chinese medicine doctor to check if it is caused by kidney deficiency. It is also important to appropriately control the frequency of sexual activity and consider taking Jin Suo Gu Jing Wan or Nan Bao Jiaonang to improve the condition. In severe cases, seek medical examination to determine if there are other underlying causes.Although impotence and premature ejaculation both fall under male sexual dysfunction, their pathogenesis has fundamental differences. First and foremost, it should be noted that approximately 20% of patients with impotence and premature ejaculation are caused by psychological factors. Secondly, besides hormonal level issues, problems related to penile dynamics can also lead to impotence and premature ejaculation. Therefore, it is recommended that patients seek examination and diagnosis at a formal urological department. Do not use medication blindly until the cause is identified.