Patient's question:
Detailed medical history and purpose of consultation:I used to have a history of masturbation, approximately 10 years ago, with a frequency I considered average, about 5 to 6 times per month. Recently, I got married, and my first sexual encounter was quite exciting but also a bit nervous. As a result, my penis did not fully enter the vagina, nor was it fully erect, and I ejaculated prematurely. The second time was the same—my penis wasn’t hard enough to insert into the vagina, and I ejaculated again. I feel like there’s a problem and am under pressure. The third time, no matter what I tried, my penis remained soft. The fourth time, I ejaculated again while still in a relatively flaccid state. Am I experiencing impotence? Is this related to my past history of masturbation? But every morning when I wake up...
Doctor's answer:
The main causes of premature ejaculation are functional and organic factors. Functional factors are primarily psychological, such as tension before sexual activity, disharmony in marital sex life, and sexual anxiety, which can lead to increased excitation of the cerebral cortex and result in premature ejaculation. Organic factors are more common in inflammatory conditions of the reproductive organs, such as prostatitis, orchitis, and seminal vesiculitis. If you experience any discomfort, it is recommended that you promptly seek examination at a formal specialized hospital for relevant tests. After a clear diagnosis, timely symptomatic treatment should be administered targeting the cause.