What are the causes of impotence and premature ejaculation?

Patient's question:

Recently, I started to feel that I was experiencing premature ejaculation during sexual activity with my wife. Later, this phenomenon became more frequent. My wife always thought it was due to my work pressure, but last night I experienced erectile dysfunction. What are the causes of erectile dysfunction and premature ejaculation?

Doctor's answer:

Hello, conservative treatment for erectile dysfunction includes psychological, behavioral methods, and medication. Psychological therapy requires cooperation from both partners; it is essential for the wife to understand that effective results can be achieved with good coordination between both. Medication should be taken according to the doctor's advice. Physical therapy includes devices, injections into the male genitalia, applying ointments to the male genitalia, medication inserted into the urethra of the male genitalia, and air pumps. Injections into the male genitalia are suitable for organic erectile dysfunction or severe functional erectile dysfunction. Surgical treatment includes penile implant surgery and distal partial resection of the penile dorsal nerve.

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