Patient's question:
I've felt weak urination for several years, and still feel like there's more after finishing. Just started dating a girlfriend and discovered I have premature ejaculation, it's less than a minute every time.Doctor's answer:
Erectile dysfunction (ED) is a self-diagnosed condition. Patients clearly articulate their sexual experiences, with ejaculation time being the primary complaint. The perspective of a sexual partner plays a significant role in helping clinicians understand the condition. A comprehensive description is crucial for distinguishing ED from premature ejaculation (PE), as factors like the ability to achieve or maintain an erection are often coexisting. Additionally, some men are unaware that a soft penis after ejaculation is a normal phenomenon, leading them to mistakenly believe they have ED when, in fact, they have premature ejaculation.Recommendation: The diagnosis of premature ejaculation is based on the patient's sexual history. Patients with a primary complaint of ejaculation dysfunction should have a thorough sexual history taken. This includes: the frequency and duration of premature ejaculation, the relationship with a specific sexual partner, whether it occurs every time or only sometimes, the level of stimulation that triggers it, sexual practices and frequency (foreplay, masturbation, intercourse, visual stimulation, etc.), the impact on sexual life, interpersonal relationships, and quality of life, exacerbating and alleviating factors, and the relationship with medication use or abuse. Laboratory tests or physiological examinations are generally not used unless the medical history and physical examination suggest a complex form of premature ejaculation.