Patient's question:
[Condition Description: Premature ejaculation and short erection time with weak erection. History of treatment and effectiveness: The treatment was not effective and it seemed to get worse. What kind of help do you want: Want to be cured quickly and effectively.]Doctor's answer:
Erectile dysfunction refers to a condition where a man cannot achieve an erection during sexual intercourse, or the erection is not firm enough, or it lasts for a short time, making it impossible to insert into the vagina and complete normal sexual intercourse. There are many causes of erectile dysfunction, with the most important and common cause being prostate diseases! Premature ejaculation is a symptom, not a single disease! There are many reasons for premature ejaculation! Most of the causes of premature ejaculation are psychological factors, such as poor marital relationships, potential hostility, resentment, and anger towards the wife by the husband, or excessive fear, admiration, and inferiority complex for the wife; some may suffer from excessive masturbation before marriage or excessive sexual indulgence after marriage, excessive mental tension, extreme emotional excitement, or fear of rapid ejaculation, leading to sexual failure. Excessive physical fatigue and insufficient energy can also weaken the control ability of the seminal emission center. Organic causes are relatively rare, such as multiple sclerosis, spinal tumors, cerebrovascular accidents, phimosis, urethritis, epididymitis, chronic prostatitis, etc. However, among these, prostatitis is a common cause of premature ejaculation! There is something called the corpuscles of spermatogenesis in the prostate, which nourishes sperm! When the prostate becomes congested, hypertrophied, or inflamed, the corpuscles of spermatogenesis will decrease, and as a result, the number of sperm will gradually decrease! The quality and motility of sperm, as well as sexual desire, will decline, leading to premature ejaculation! When the prostate is inflamed or hypertrophied, the volume of the prostate changes, compressing the urethra and seminal vesicles, triggering reflexes of ejaculation and urination! However, in the early stages, there may be an increase in sexual desire, which is merely a false impression. As the threshold of sexual desire changes, abnormal sexual function will manifest! It is generally recommended that patients undergo a prostatic fluid examination to confirm the cause!