What are the reasons for a short erection time?

Patient's question:

I am 23 years old. Recently, I had sex with my girlfriend. Before doing so, I was very excited and had a hard erection, but when it came time to insert, it started to get a bit soft. What could be the reason? I would appreciate an explanation!

Doctor's answer:

Hello, men who are sexually aroused and fully stimulated prepare for sexual intercourse, but the penis fails to erect. Some can only achieve a slight erection, but the hardness is insufficient to enter the vagina. Others may have a good erection, but it lasts for a short time and becomes flaccid before entering the vagina. Some can even erect and enter the vagina, but the penis becomes flaccid before sexual intercourse or shortly after a slight movement without ejaculation, leading to sexual failure—this is the symptom of impotence! The causes of impotence include insufficient cavernous sinus congestion, arteriovenous fistula, sexual hormone level disorders, prostatic diseases, and systemic diseases! Blind medication can mask or even worsen the condition, delaying the best time for treatment!

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