Patient's question:
Hello, I've been experiencing some symptoms of kidney deficiency for a while, but recently they've become more severe. During intimate moments with my wife, I feel completely exhausted and unable to perform. Sometimes I can't even get hard, and other times when I do, it's over in less than two minutes.Doctor's answer:
Hello, the primary step in treating erectile dysfunction (ED) is to identify the underlying causes. The causes of ED can be categorized into two types: psychological factors and organic conditions. Psychological ED refers to the inability to achieve an erection during sexual activity, the inability to maintain an erection during arousal, or the inability to stay rigid after entering the vagina. Patients with psychological ED should alleviate their mental burdens, regulate their emotions, and avoid emotional fluctuations. As long as the psychological obstacles are overcome, the symptoms of ED generally improve and may resolve on their own without treatment. For ED caused by endocrine disorders, hormone therapy can be used; for ED caused by medication, medication discontinuation or switching to alternative drugs should be considered; for vascular ED, vascular surgery may be applicable; and for certain organic ED where the underlying cause cannot be addressed, penile implant surgery can be used, all of which can achieve good results. In summary, treating ED is not a matter of assumption, and it is especially important not to blindly believe in the myth of "compensating for physical shortcomings with external means." Each patient with ED has a unique cause and cannot be generalized. Currently, there is no miracle cure for ED. Only by combining differential diagnosis theory and prescribing medication based on specific symptoms can effective treatment be achieved.