What are the causes of male impotence and premature ejaculation?

Patient's question:

I've felt weak all over since last year, and I no longer have morning erections. My sexual performance hasn't been as long as before, and the hardness is also not as good as it used to be. I'm afraid I might have erectile dysfunction or premature ejaculation. I went to the hospital and the doctor said it wasn't erectile dysfunction or premature ejaculation, just a bit of overexertion.

Doctor's answer:

Hello, it refers to the enhanced inhibitory effect of the cerebral cortex on sexual arousal and the reduced excitability of the spinal erection center. This is what is known as a functional cause, with no organic lesions present. It can be due to excessive indulgence, which keeps the nervous system in a state of constant overexcitement, ultimately leading to exhaustion from excessive excitement. It can also be caused by chronic illnesses, weakened constitution, or excessive fatigue, resulting from physical or mental exertion-induced debilitation or neurasthenia.

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