Am I suffering from erectile dysfunction? How should it be treated?

Patient's question:

I remember it was around 2003 when I noticed the last few drops of my urine were slightly white, lasting for about 4 or 5 days. There were no other abnormalities during urination, and no further issues were observed afterward. I feel that four years ago, my sexual pleasure was reduced, but erection was normal. Later, the degree of erection gradually decreased, and during ejaculation, it felt like it was flowing unintentionally—without thickening or hardening, and with reduced pleasure. Morning erections also decreased. In the past year, I've had occasional morning erections, and I can get erect with manual stimulation or friction against my wife's body, but the hardness isn't ideal, and I can complete sexual intercourse with little pleasure. Is it related to my frequent sexual activity?

Doctor's answer:

Medical Analysis:
Hello, based on your description, you have experienced some issues during sexual intercourse, particularly during ejaculation, which is different from before, and you are concerned about erectile dysfunction.
Guidance:
I can tell you that your situation does not fall under erectile dysfunction. This is because your genital erectile function is normal. Erectile dysfunction is characterized by the inability to achieve an erection, especially the absence of nocturnal or morning erections. Even if the penis can become erect, it cannot enter the vagina, meaning it becomes soft as soon as it approaches the vaginal opening. For reference only. Wishing you the best of luck!

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