Patient's question:
I couldn't get erect during my first sexual experience with my girlfriend, but I'm usually fine and also have morning erections. Additionally, I can get erect easily when lying down, but it becomes soft as soon as I stand up. More than 20 days later, the same problem occurred again. I'm very frustrated and keep thinking about the unsuccessful experience during our first time. Could you please explain the reason for this and provide a detailed answer?Doctor's answer:
Erectile dysfunction refers to young and middle-aged individuals experiencing weakness in the male organ due to causes such as deficiency, fright, or damp-heat, leading to the failure of nourishment and relaxation of the zongjin (penis), resulting in a weak or non-erect penis during sexual activity, or an erect but unable to maintain hardness. It is often accompanied by symptoms such as fatigue, lower back and knee weakness, dizziness and tinnitus, cold contraction of the scrotum and penis, reduced semen volume or low sperm motility, a sense of fullness or pain in the perineum, difficulty urinating, or clear, frequent urination.Treatment based on syndrome differentiation:
- Decline of mingmen fire: Warm and tonify the kidney yang, nourish the kidneys, and replenish essence.
- Damage to the heart and spleen: Tonify the heart and spleen.
- Fear injuring the kidneys: Benefit the kidneys and calm the spirit.
- Liver qi stagnation: Soothe the liver and resolve stagnation.
- Damp-heat descending: Clear and resolve damp-heat.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. You should consult a local traditional Chinese medicine hospital, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to match the treatment to your specific symptoms. Only then can the medicine effectively address the condition. Wishing you a speedy recovery.