Erectile dysfunction with short duration and inability to ejaculate: What can be done?

Patient's question:

Male 27 In the past month, during sexual intercourse with my wife, it started well, but after a short time, my penis became soft and unable to stay hard. Every time, I couldn't ejaculate. This has happened twice. I used to masturbate frequently and don't know what disease I might have. Please analyze this for me. What medication or method should be used for treatment?

Doctor's answer:

Hello, the main reasons for delayed ejaculation are:
1. iatrogenic factors: such as antihypertensive treatment, tranquilizers, antidepressants; surgical procedures such as: retroperitoneal lymph node dissection or aortic, iliac artery, or colon surgery leading to conditional or related delayed ejaculation.
2. psychological factors: excessive psychological stress, excessive mental tension, etc., causing delayed ejaculation.

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