Erectile dysfunction and premature ejaculation - #10166

Erectile dysfunction (ED) and premature ejaculation (PE) can be quite distressing, particularly when they persist over a long period like in your case. Understanding the root causes is crucial, so let’s break this down into manageable steps. First, erectile dysfunction may have both psychological and physiological aspects. Stress, anxiety, depression, or issues within relationships can contribute significantly to ED. Physiologically, factors like diabetes, hypertension, and obesity might be responsible, and certain medications or lifestyle habits (e.g., smoking, excessive alcohol) can exacerbate the condition. A thorough evaluation by a healthcare provider can help identify any underlying medical conditions that need addressing. For ED, options range from lifestyle modifications—like regular exercise, a balanced diet, and quitting smoking—to oral medications such as PDE5 inhibitors (e.g., sildenafil). These should be taken under medical guidance since they have specific indications and contraindications. As for premature ejaculation, it can often be treated with behavioural techniques and psychological counseling if psychological factors are at play. Certain antidepressants, known for their side effect of delaying ejaculation, can be prescribed, but again, medical supervision is crucial. Considering you mentioned pre-cum issues while watching porn, it’s essential to reflect on how pornography consumption might be influencing your sexual function. Although it may not directly cause PE or ED, it can sometimes alter arousal patterns, which could play a role in your symptoms. Reducing porn consumption and replacing it with mindful practices and strengthening your intimate connection with your partner could be beneficial. I also recommend pelvic floor exercises, which can improve control over ejaculation. Consulting with a healthcare professional will help guide which strategies are best suited for you. It may be worthwhile to engage a psychologist or sex therapist alongside medical treatment to address any psychological influences. Seeking prompt intervention is key, especially after struggling with these symptoms for six years—you deserve a comprehensive assessment and personalized treatment plan to improve your quality of life.