What causes impotence, premature ejaculation, and incomplete urination?

Patient's question:

I am 33 years old, married, and have the habit of masturbation. Even after marriage, I have a high sex drive, but my wife is frigid. Sometimes I have to solve it myself. Previously, everything was still normal, but recently I have felt a sensation of incomplete urination. Even when I urinate cleanly, I always feel like there is still urine in the urethra waiting to come out. When having sex with my wife, my penis can get erect, but it feels less firm than before, and it takes about 2 minutes before I ejaculate into the vagina, even though I have tried very hard to control it. Everything else is normal. I usually go to bed at 12 and wake up at 7:30, and I often have morning erections in the morning.

Doctor's answer:

You currently have poor erection performance, and it is recommended to focus on the treatment of erectile dysfunction. Instead of constantly considering conditions like prostatitis or incomplete urination, as there is no significant relationship between them.
The following suggestions regarding sexual function are for your reference.
1. Sexual function is closely related to psychological and mental factors. For example, mental states such as tension, anxiety, or depression, or physical fatigue or decline in condition can all lead to poor erectile function. It has little to do with masturbation.
2. It is recommended to first change unhealthy lifestyle habits and adjust your mindset, as this is the prerequisite and key to treatment.
3. Additionally, masturbation is a normal physiological activity, but it is not advisable to do it frequently. Focus more on work and physical exercise.
4. If necessary, you can visit the male urology department of a large public general hospital for consultation and treatment with traditional Chinese medicine to regulate your condition for a period of time to see the results.

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