Patient's question:
Erectile dysfunction and premature ejaculation.Doctor's answer:
Hello: Psychological factors affecting erectile function vary among individuals due to differences in psychological resilience. Even when exposed to similar psychological or emotional stimuli, people may react differently. While psychological trauma does not typically cause erectile dysfunction in most people, it can be a contributing factor for some. Common factors include inadequate or incorrect sexual education, such as guilt and fear associated with masturbation and nocturnal emissions, viewing sexual behavior as dirty or vulgar, and other similar issues. Childhood sexual trauma, initial sexual failure experiences, poor marital relationship dynamics, excessive social stress, inappropriate sexual settings, fear of pregnancy or contracting diseases, and chronic anxiety can all lead to sympathetic nervous system activation, the release of norepinephrine, vasoconstriction, and a decline in testosterone levels, resulting in erectile dysfunction. It is recommended that you visit a hospital for sexual function testing and follow the doctor's advice for targeted treatment. Wishing you a speedy recovery.