What are the causes of premature ejaculation?

Patient's question:

I've been feeling low on energy recently this year, experiencing back and waist pain, and not very harmonious sexual life. I often feel tired and lacking strength, as if I have some issues with ED and premature ejaculation. My friend said I have poor kidney health and recommended me to take Ginseng and Rhinoceros Horn Pill. Is this effective? How should I take it? How long is a course of treatment? What should I pay attention to?
What kind of help I want: What are the precautions for taking Ginseng and Rhinoceros Horn Pill?

Doctor's answer:

Hypothesis of the issue: Hello, based on the situation, this Ginseng and Deer Antler Pill is used for tonifying the kidneys and strengthening yang, enhancing vitality and marrow, and is intended for symptoms such as decreased libido, kidney deficiency with weak qi, impotence, premature ejaculation, and nocturnal emissions. This may be the therapeutic effect of the medication, and generally, there should be no major issues. The medication can help achieve the effects of tonifying the kidneys and strengthening yang, and it is beneficial for enhancing vitality and marrow, as well as for improving decreased libido. Additionally, it is recommended to engage in more physical exercise, enhance physical fitness, and consume more light foods that are rich in vitamins and proteins.

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