Patient's question:
In my thirties, married for 3 years. Mostly, it's been my wife who initiates after we get married. I rarely initiate, at most once a week, usually every two weeks or once a month. Both the timing and my erection are normal, but I just don't want to.Doctor's answer:
Erectile dysfunction may primarily stem from two issues: 1) The organ responsible for erection has no problem, but it performs poorly, which is often due to psychological factors; 2) The organ itself has organic lesions, such as those caused by aging, diabetes, or hypertension, leading to damage to the nerves and blood vessels of the erectile organ; medications used to treat hypertension can easily cause erectile dysfunction, especially beta-blockers and thiazide drugs. In such cases, it is advisable to consult a cardiologist for detailed advice and switch to other types of medications.Sexual life is a relatively complex physiological and psychological process, so treatment should first begin with sexual guidance, reviewing relevant materials, and coordination between the two individuals. Additionally, medication treatment should be combined. If the organ responsible for erection has no organic lesions, it should be curable; however, if there are organic lesions, the treatment effect may be less effective.