Patient's question:
I'm separated from my girlfriend and we spend about two days together every 15 days on average. The first time we had sex, my penis was very hard, but the duration was short. After resting for a while, it wasn't as hard, but it could still be entered with some rubbing, and it didn't affect sexual intercourse. The intercourse time was about 10 minutes, which is considered normal. However, during the next sexual encounter, I needed manual help to get an erection, and even that didn't work. We had about 5-6 sexual encounters in those two days.Doctor's answer:
Erectile dysfunction (ED) 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. Second, psychological ED, which involves factors causing rapid ejaculation, includes many aspects. The tension in men's sexual life persists, and long-term sexual failures can create a negative psychological cycle. Finally, 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, massage, herbal remedies such as Jin Gui Shen Qi Wan and Wu Zi Yan Zong Wan, and it is necessary to moderate sexual activity.