Patient's question:
Detailed medical condition and consultation purpose: Previously, he had sexual activity about three times a week, but the situation was not very good. Although he experienced sexual climax, he almost broke into a sweat and felt weak in his limbs each time! In recent weeks, he seems to have lost interest in sex, having it about twice a month, and it was always insisted on by me! When we finally managed to have sex, he quickly ejaculated within five minutes, with only a small amount of sweating! I am very distressed about this! Please ask: Is this condition kidney deficiency or premature ejaculation? What is the cause?Doctor's answer:
A. Age Factor: After the age of 50, sexual desire tends to gradually decrease as one grows older. This is an objective law of sexual aging, but the fluctuation in sexual desire is very significant, varying greatly among different ethnic groups, different periods, and different environments.B. Psychological Factors: Some individuals, due to a lack of sexual knowledge, may experience a decline in sexual desire as a result of failed masturbation or first sexual intercourse. Some believe that "one drop of semen is equal to ten drops of blood," viewing semen as precious and thus feeling regretful, which may lead to an inability to achieve ejaculation during intercourse. Over time, these individuals may gradually reduce or completely lose their desire for sexual activity. Other causes include marital disharmony or consistently poor sexual compatibility, fear of the partner becoming pregnant or giving birth, or holding incorrect views about sexual life. Conversely, some may develop a sense of guilt or trauma due to past mistakes related to sexual life, which inhibits the excitement of the sexual desire center in the cerebral cortex.
C. Medical Factors: Physical weakness, excessive fatigue, chronic diseases, and endocrine function changes, particularly insufficient testosterone secretion by the testes, can all lead to a decline in sexual desire.