How can impotence be treated more effectively?

Patient's question:

No morning erections, decreased libido, weak ejaculation pleasure, even when the erection hardness is insufficient, short love time with soft skin, long-term bad masturbation habits, previously treated for prostatitis and undergone a circumcision surgery

Doctor's answer:

Erection of the penis is caused by congestion of blood in the corpora cavernosa. Insufficient congestion can lead to erectile dysfunction, with causes including psychological factors and certain endocrine diseases, among others. Based on your medical history, the cause of your impotence needs further examination, such as sexual hormone and blood biochemistry tests. Additionally, penile erection function monitoring should be conducted. The above tests can serve as a basis for future diagnosis and treatment of impotence. Currently, you may also try oral medication as a treatment option.