What are the symptoms of impotence? Does lack of excitement constitute impotence?

Patient's question:

What are the symptoms of impotence?

Doctor's answer:

Erectile dysfunction, also known as impotence, refers to the inability of a man to achieve or maintain an erection sufficient for sexual intercourse, or the inability to engage in normal sexual activity, or the inability to insert the penis into the vagina for sexual intercourse. It is important to note that occasional failure to engage in sexual intercourse cannot be diagnosed as erectile dysfunction.
Psychogenic erectile dysfunction typically occurs more rapidly, where the penis can achieve spontaneous erections but fails to do so when sexual intercourse is desired. Alternatively, the penis may become rigid upon initial contact with the female body but becomes soft when attempting to insert. Additionally, it may be accompanied by mental symptoms such as anxiety, worry, depression, or fatigue. Some cases may also involve premature ejaculation or anejaculation during intercourse.
Organic erectile dysfunction is primarily characterized by the inability of the penis to achieve an erection under any circumstances, with a slower onset and progressive worsening. It is recommended that you visit a hospital to identify the underlying cause and receive targeted treatment.

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