Patient's question:
I've been with my girlfriend for five years and we're about to get married. However, there's one thing that's been causing me immense frustration. 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 penetrate her, and I've always come prematurely. I can say I've never actually " climaxed" yet. Usually, I feel fine, but when it comes to the moment, I just can't get it right. Am I suffering from what they call ED (erectile dysfunction), 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 for less than 2 minutes, and premature ejaculation occurs. The main causes of premature ejaculation are related diseases such as chronic prostatitis, genitourinary infections, phimosis, and hyperthyroidism. Secondary causes include psychological factors. For premature ejaculation caused by mental tension or psychological shadows, medication or surgical treatment is generally not required. During sexual activity, it is recommended to keep a calm mind and avoid excessive psychological pressure, and it will gradually return to normal. If the symptoms do not improve, it is advisable to seek medical attention early for diagnosis and targeted treatment.