Patient's question:
Hello doctor, I am 31 years old, have been masturbating for eight years, and have had poor sexual performance in the past two years. I suffer from premature ejaculation, weak erections, insufficient hardness, and no morning erections. In winter, my limbs are cold, and I am afraid of cold.Doctor's answer:
There are many causes of sexual dysfunction, which can be classified as functional or organic. Functional sexual dysfunction accounts for the majority of cases and is characterized by disturbances in cortical brain function. It is usually 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, and penile abnormalities. It is recommended to seek medical attention. After undergoing specialized and professional examinations to confirm the diagnosis, symptomatic treatment can be administered.