Patient's question:
I am 31 years old. Due to excessive masturbation, my penis cannot get erect when having sex with my girlfriend, but it can get erect when I read erotic novels, although the duration is not long. In the morning, I can get a normal erection. What could be the reason for this? What kind of medicine should I take?Doctor's answer:
1. Urological and genital organ disorders: Conditions such as prostatitis, benign prostatic hyperplasia, epididymitis, and varicocele can often lead to erectile dysfunction. Some middle-aged and elderly patients develop erectile dysfunction specifically due to prostatitis and benign prostatic hyperplasia.2. Diseases of the penis itself: Such as penile plaques, penile curvature deformity, severe phimosis, and balanoposthitis.
3. Medication-related causes: Side effects of many therapeutic medications. Generally, drugs that block central effects or interfere with the local nervous system's regulation of penile smooth muscle function can cause erectile dysfunction. Hypertension medications, particularly diuretics, have been confirmed to impact sexual function. Other medications used to treat mental illnesses and antidepressants may also cause sexual dysfunction.