No ejaculation, poor sperm quality, combined traditional Chinese and Western medicine treatment for 1 year no effect

Patient's question:

Same room, masturbation without ejaculation, no climax, erection not hard enough or lasting long enough; before the first time in the same room, an abnormality was discovered, but when seeking medical attention, it was considered a psychological effect and no treatment was given

Doctor's answer:

It could be in your mind, but you also need to consider if your resilience is enough? It might also be caused by insufficient resilience. This is a multifaceted issue.