Patient's question:
Hello, I am currently having sex. Why is it always not firm enough and I experience premature ejaculation?Doctor's answer:
Hello, based on your description, it is important to pay attention to the possibility of sexual dysfunction, which is accompanied by symptoms of premature ejaculation and erectile dysfunction. Sexual dysfunction refers to any impairment in the overall process of normal male sexual function (including five stages: sexual desire arousal, penile erection, penile penetration into the vagina, sexual desire climax-ejaculation, and sexual satisfaction) in any one of these stages. It is mainly divided into: 1) Penile erection disorders (including ED and abnormal penile erection); 2) Ejaculation dysfunction (including premature ejaculation, anejaculation, and retrograde ejaculation); 3) Sexual desire disorders (low libido, sexual aversion, and paraphilia); 4) Sexual sensory disorders (sexual pain and lack of sexual climax). Generally, the main causes of sexual dysfunction include: 1) Psychological factors: tension, fear, anxiety, depression, and lack of sexual knowledge, etc.; 2) Biological factors: abnormal hormone levels and glans sensitivity, etc.; 3) Disease factors: vascular lesions, phimosis, prostatitis, seminal vesiculitis, urinary tract infections, neurological diseases, and the use of medications, etc. Clinical manifestations mainly include conditions such as no erection, insufficient erection hardness, and premature ejaculation. Therefore, it is recommended that you consider your specific situation and undergo relevant sexual function tests at the hospital, such as a sexual nerve sensitivity test and an erection function test. Based on the test results, you can then consider treatment.