Having sex can be hard to get up.

Patient's question:

Patient is male, 31 years old. Previously had a habit of masturbation. During intercourse, when the foreplay lasts only two or three minutes, he tends to withdraw. If the separation time is too long, sometimes he cannot get hard during intercourse. Sometimes he gets hard and enters, but softens after being interrupted for a while. Ejaculation is also weak.

Doctor's answer:

Erectile dysfunction (ED) has multiple causes: Firstly, excessive stimulation of the glans penis due to conditions such as prolonged foreskin or tight underwear can lead to premature ejaculation in men. Secondly, psychological ED, which involves rapid ejaculation triggered by psychological factors, encompasses various aspects. The tension during sexual activity persists, and prolonged sexual failures can create a negative psychological cycle for the patient. Lastly, organic disorders: Many male diseases can reduce the excitability of the ejaculation center, making ejaculation more likely to occur. Examples include urethritis, seminal vesiculitis, and prostatitis. Treatment options include acupuncture and massage, as well as herbal remedies such as Jin Gui Shen Qi Wan and Wu Zi Yan Zong Wan for regulation.

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