Why can't I get an erection with my girlfriend during sexual activity?

Patient's question:

I am 21 years old. The first time I had sex with my girlfriend, I couldn't get an erection, but even after trying a few more times, I still had the same issue. However, I can get an erection at night or when I masturbate. Why?

Doctor's answer:

In your case, it falls under the category of erectile dysfunction, which generally has psychological and pathological causes. It is recommended that you seek medical attention promptly to determine the specific cause, and follow the doctor's guidance for safe treatment. It is also advisable to maintain a regular exercise routine, listen to music to relax, and engage in sexual massage with a partner when necessary. This can also be very beneficial.

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