Erectile dysfunction and premature ejaculation can be psychological?

Patient's question:

I have always been very affectionate with my husband, and our marital life has also been very harmonious. However, since one day when my husband was very tired, we still had sexual relations. That time, he experienced erectile dysfunction and premature ejaculation. After that, we have never been successful since. Could erectile dysfunction and premature ejaculation be psychological?

Doctor's answer:

Hello, impotence and premature ejaculation refer to the symptoms where both conditions occur simultaneously. In fact, there is an intrinsic causal relationship between impotence and premature ejaculation. Men with long-term premature ejaculation often experience significant psychological stress. Generally, through progressive delay training combined with guidance from a psychologist, impotence can also disappear along with the reduction of psychological stress.

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