Insufficient hardness and rapid ejaculation, what's the cause and what can be done?

Insufficient hardness and premature ejaculation usually refer to reduced penile rigidity and premature ejaculation. Under normal circumstances, insufficient penile hardness and premature ejaculation may be caused by excessive mental stress, poor lifestyle habits, balanitis, prostatitis, kidney deficiency, and other factors. Patients are advised to follow medical instructions and choose symptomatic treatments such as general therapy or medication. A detailed analysis is as follows:

1. Excessive mental stress: Long-term mental stress may lead to decreased libido or erectile dysfunction. Significant psychological pressure can cause abnormal local nerve reflexes, hindering penile erectile function, resulting in symptoms such as insufficient penile hardness and premature ejaculation. Patients are advised to relieve anxiety and depression through psychological counseling, psychotherapy, or effective communication with their partners.

2. Poor lifestyle habits: Lack of exercise, an unbalanced diet, excessive alcohol consumption, or smoking may impair sexual function, leading to the aforementioned symptoms. It is recommended to increase physical activity, engaging in aerobic exercise at least four times per week for approximately one hour each time. Additionally, maintain a balanced diet and avoid excessive alcohol consumption and smoking.

3. Balanitis: If balanitis is not treated promptly or appropriately, it may easily lead to scar contraction, causing a narrow preputial opening, thereby affecting penile hardness and potentially causing premature ejaculation. Symptoms may include redness, swelling, pain, and itching of the glans penis, as well as urinary difficulties, frequent urination, and urgency—indicative of urinary system involvement. Patients with severe scar contraction may need to consider surgical treatment at a reputable hospital, such as circumcision.

4. Prostatitis: Prostatitis is a common urological condition that causes lower body swelling and pain, difficulty urinating, and may also impact kidney and sexual function, potentially causing the aforementioned symptoms. It may be accompanied by urinary symptoms such as frequency, urgency, pain during urination, and incomplete bladder emptying. Patients may seek surgical treatment at a reputable hospital, such as transurethral resection of the prostate (TURP).

5. Kidney deficiency: Kidney deficiency may lead to diminished sexual function, manifesting as symptoms such as insufficient penile rigidity and premature ejaculation. Additional symptoms may include soreness and weakness of the waist and knees, fatigue, dizziness, tinnitus, night sweats, or spontaneous sweating. Patients should follow medical advice and use medications such as Liuwei Dihuang Wan (Rehmannia Six), Jin Kui Shen Qi Wan, or Liuwei Wuling Pian for treatment.

In daily life, maintaining good lifestyle habits and a positive mindset can help prevent and manage the above symptoms.