What is situational erectile dysfunction and premature ejaculation?

Patient's question:

I have discomfort with ED and premature ejaculation, my body is always tired, and I can't seem to stay energetic. I find sex particularly stimulating, but some medications I've taken haven't helped. My erections aren't as hard as they used to be, and I feel very anxious. I'm very upset and troubled.

Doctor's answer:

Hello, situational erectile dysfunction and premature ejaculation do not necessarily represent a pathological process. Specific characteristics include: premature ejaculation does not occur persistently, and the timing is irregular. When nearing ejaculation, the ability to control ejaculation is reduced, but sometimes it is normal, which is not a necessary condition for diagnosis.

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