Suspect I have some ED (Erectile Dysfunction) and PE (Premature Ejaculation), what medicine can I take to treat it?

Patient's question:

Patient Age: Han Ao

Doctor's answer:

You can first refer to the following situations to self-assess the severity of erectile dysfunction.
1. Mild: Sexual desire is basically normal; the penis can become erect quickly after sexual stimulation from the opposite sex; the penis can also be erected by oneself; during sexual activity, the penis can become erect but not sustain it, or it requires manual assistance to enter the vagina; the penis becomes erect but is not firm; frequency decreases; pleasure is still acceptable.
2. Moderate: Sexual desire weakens; the penis responds slowly to stimulation of sensitive areas; the penis cannot become erect immediately after sexual stimulation from the opposite sex; with self-stimulation, the penis can only become erect with difficulty; during sexual activity, the penis often fails to become erect, or although it does, it cannot sustain it; the penis cannot enter the vagina during sexual activity; the erection angle is less than 90°, and the hardness is very poor; sexual activity frequency significantly decreases, and sexual pleasure significantly declines.
3. Severe: Sexual desire disappears; regardless of whether sensitive areas are stimulated, sexual stimulation from the opposite sex, or self-stimulation, the penis shows no response to erection; during sexual activity, the penis cannot become erect or enter the vagina; the penis has no erection angle or hardness; sexual activity almost stops, and there is no sexual pleasure.
The following methods can help treat erectile dysfunction:
1. Massage the groin Use the thumb, index finger, and middle finger of both hands to symmetrically massage the groin from the outside to the inside toward the base of the penis. The force of the massage should be gentle and comfortable, without pain. Massage each side 50 times.
2. Twist the spermatic cord Use the thumb, index finger, and middle finger of both hands to symmetrically twist the base of the penis. For the spermatic cord above the scrotum, the force should be light enough to produce a mild soreness or comfortable sensation. Twist each side 50 times.
3. Massage the testicles Use the thumb and middle finger of both hands to support the lower part of the testicle on the same side, then press the upper part with the thumb and gently massage the testicles on both sides like rolling a rosary. The pressure should be light enough so that the testicles don’t hurt or feel slightly sore. Massage each side 150–200 times.
4. Pull the penis and testicles Use the right or left hand to hold the penis and scrotum together in the palm and gently pull downward 150–200 times. The pulling force should be light enough to produce a slight soreness in the penis and testicles, or a mild pulling sensation in both sides of the lower abdomen.
5. Massage the Yongquan point Use the left hand to massage the Yongquan point on the right foot 100 times, and use the right hand to massage the Yongquan point on the left foot 100 times. The effect is even better if done after a hot foot bath every night.

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