Patient's question:
I am not married and have no sexual experience, but I have masturbated excessively. I am afraid I have already experienced impotence and premature ejaculation.Doctor's answer:
Hello: Erectile dysfunction (ED) and premature ejaculation (PE) are two distinct sexual function disorders. Premature ejaculation refers to the inability to control ejaculation during sexual intercourse, where ejaculation occurs before or shortly after penile insertion into the vagina, or when a woman reaches orgasm less than 50% of the time during intercourse. The causes of premature ejaculation are commonly related to psychological factors, excessive foreskin, frequent masturbation, overly sensitive sexual nerves, prostatitis, and other conditions.Erectile dysfunction (ED) refers to the inability to achieve or maintain an effective erection during intercourse, leading to sexual dissatisfaction. Its manifestations vary, including: complete inability to achieve an erection under any circumstances; inability to achieve an erection during sexual arousal but spontaneous erections during sleep, morning erections, or in response to erotic stimuli; or the ability to achieve an erection during arousal but failure to complete intercourse upon vaginal insertion, or premature ejaculation due to softening before ejaculation.
The causes of erectile dysfunction include psychological, neurological, endocrine, arterial, cavernosal, pharmacological factors, as well as aging and various systemic diseases.
For the diagnosis of ED and PE, premature ejaculation is typically assessed through penile sensitivity testing, while erectile dysfunction is generally diagnosed through an erectile function examination.