Patient's question:
Treatment methods for impotence and premature ejaculation.Doctor's answer:
Erectile dysfunction can be categorized into primary and secondary forms based on the history of occurrence. Primary erectile dysfunction refers to cases where the penis has never been erect or has only been slightly erect once without being able to insert into the female vagina. Secondary erectile dysfunction occurs when erections are possible during non-sexual activities (such as upon waking up, in dreams, or with a highly full bladder), or when there has been a successful sexual experience in the past, but erectile dysfunction arises later due to other reasons. Primary erectile dysfunction accounts for a very small proportion of the population, while the majority of erectile dysfunction cases are secondary.Erectile dysfunction can be classified based on its causes into organic, psychogenic, and iatrogenic forms. Organic erectile dysfunction refers to cases where the condition is caused by insufficient sexual ability in an individual. This insufficiency is due to physical factors, such as weakness, prolonged illness, excessive alcohol consumption, or medication use. Psychogenic erectile dysfunction is caused by emotional tension, while iatrogenic erectile dysfunction results from inappropriate medical treatment leading to difficulties in achieving an erection.
To diagnose whether a person has erectile dysfunction, various situations must be analyzed. Occasional inability to achieve an erection due to excessive fatigue or alcohol consumption in men should not be considered erectile dysfunction. Only if this condition persists repeatedly can a diagnosis of erectile dysfunction be made.
Additionally, erectile dysfunction shares similarities with premature ejaculation. If a person can achieve a short erection but prematurely loses his erection due to ejaculation, leading to incomplete sexual intercourse, it should be classified as premature ejaculation rather than erectile dysfunction.
Furthermore, sexual failure requires a specific analysis and should not be solely attributed to the male partner. Factors such as vaginal spasm or a thickened hymen in women can also make sexual intercourse difficult.
The authoritative figures in sex psychology, Masters and Johnson, once proposed