Premature ejaculation, weak erection, insufficient hardness

Patient's question:

Doctor, I am 31 years old. I have been masturbating for eight years. In the past two years, my sexual life has been poor, with premature ejaculation, weak erection, insufficient hardness, no morning erections, premature ejaculation, and cold limbs in winter. I am afraid of the cold.

Doctor's answer:

There are many causes of sexual dysfunction, which can be categorized as functional or organic. Most cases of functional sexual dysfunction are characterized by disturbances in cerebral cortex function and are typically caused by abnormal sexual habits (such as masturbation, excessive sexual intercourse) and abnormal mental states (fear, tension, fatigue). Organic sexual dysfunction is less common and is often due to spinal cord injuries that disrupt the function of the erectile and ejaculation centers, or chronic inflammation such as urethritis, prostatitis, epididymitis, etc., as well as neuroendocrine diseases, or abnormalities in the penis itself. It is recommended to seek medical attention. After undergoing specialized and professional examinations to confirm the diagnosis, symptomatic treatment can be administered.

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