Patient's question:
I've been with my girlfriend for five years and we're about to get married. But there's something that's been causing me a lot of stress. Since this year, I've tried to have sex with her about ten or so times, but every time, my performance has been terrible—I've never been able to finish, and I haven't even managed to penetrate her. I can say I'm still a virgin in this regard. Usually, I feel like there's nothing wrong with me, but when it comes to the moment, I just can't get it right. Am I suffering from what they call ED, or something else? Please, help me!Doctor's answer:
Your current symptoms are considered to be premature ejaculation. Premature ejaculation refers to the rapid ejaculation during sexual intercourse, where some men cannot even complete the act of intercourse, while others have not yet had contact with the female genitalia, or have just touched the external genitalia or vaginal opening, or have inserted into the vagina and less than 2 minutes have passed before ejaculation occurs. The main causes of premature ejaculation are related diseases such as chronic prostatitis, genital tract infections, phimosis, and hyperthyroidism. Psychological factors are also a secondary cause.For premature ejaculation caused by mental tension or psychological trauma, medication or surgical treatment is generally not necessary. It is recommended to remain calm during sexual activity, avoid excessive psychological pressure, and gradually the condition will normalize. If the symptoms do not improve, it is advisable to seek medical attention early for diagnosis and targeted treatment.