Erect but not firm, firm but not lasting, sometimes halfway through sex it gets soft, there

Patient's question:

Erect but not firm, firm but not lasting, sometimes halfway through sex it gets soft, sometimes it just won't get hard despite thinking about it, long-term night sweats, had masturbation in the past.

Doctor's answer:

Ejaculatory dysfunction has multiple causes: First, excessive stimulation of the glans penis due to conditions such as prolonged foreskin or tight underwear can lead to premature ejaculation in men. Next, psychological premature ejaculation is also a factor, with psychological factors contributing to rapid ejaculation being numerous. The tension in men's sexual life persists, and long-term sexual failures can create a negative psychological cycle. Finally, organic lesions: Many male diseases can reduce the excitability of the male ejaculation center, making ejaculation more likely, such as urethritis, seminal vesiculitis, prostatitis, and other inflammatory conditions. Treatment can include acupuncture and massage, as well as herbal remedies like Jinkui Shenqi Wan and Wuzi Yanzong Wan for regulation.

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