Patient's question:
I am 21 years old, with a six-year history of masturbation, and now I have low libido and weak erections. Premature ejaculationDoctor's answer:
Do you have a truly regular sexual life now? You probably don't. If you haven't had sexual experience yet, don't worry too much about performance. But if you're under mental stress, tension, and anxiety will definitely affect your libido. During sexual activity, if you're still tense and anxious, it's natural that you won't have good libido or performance, and you also won't have good erectile function. This is like someone without competition experience, who doesn't even know the moves, participating in a competition—they will naturally lack confidence and be nervous, and may even freeze up, making it even harder to perform well.Regarding the medications you're taking, Cialis is a vasodilator that promotes erections, but it only works effectively when you have a relaxed sexual desire and performance. Other traditional Chinese medicines are considered "yang-tonifying" herbs in TCM, mainly used to enhance physical strength. At your age, normal work, exercise, and physical fitness are not issues at all. Your problem stems from mental and psychological issues, specifically a lack of confidence.
Fertility is influenced by many factors, and it's not something you need to worry about right now. As long as the quality of your semen isn't severely compromised, it won't significantly affect your chances of conception.