I often meet patients in the clinic: “Doctor, I can’t get a hard erection, is it kidney deficiency? I have a fast time, is it kidney deficiency? Doctor, my sexual function is not good, please check my kidney function or take an ultrasound to see how my kidney is? In this regard, we explain to the patients with all our heart: good sexual function (erectile dysfunction or premature ejaculation) is not directly related to your kidney; whether it is caused by kidney deficiency or not, we need to make a diagnosis only under the dialectic of professional herbalists. The causes of erectile dysfunction (impotence) often mentioned by patients are complex. Simply put, erection requires a combination of neuroendocrine to achieve sufficient hardness to complete sexual life. Also, the causes vary among patients at different ages. For example: 1, newlywed impotence, mainly related to the patient’s sexual knowledge and tension, only need psychological guidance and popularization of sexual knowledge, coupled with drug treatment, generally can achieve a satisfactory sex life; 2, no sexual impotence, at present may be clinically encountered more adolescent patients worried about the past “masturbation” will affect erection, always suspect The fact that “masturbation” is also a normal way of sexual life does not affect the erection and hardness of the penis, as long as they experience a successful sex life and have enough sexual confidence, erection is not a problem; 3, middle-aged patients impotence, because the middle age, is a high incidence of cardiovascular disease. diseases, for these patients, we need to exclude whether they have high blood pressure, diabetes, fatty liver, penile sclerosis, etc. Therefore, we need to make: testosterone, blood lipid, blood sugar and other aspects of the test, to find out the cause of the disease, the cause of treatment. Therefore, for different patients, our treatment and medication is different, not all of them are “kidney deficiency”, and it is not recommended that patients just take “Liu Wei Di Huang Wan” to supplement the kidney. In addition to impotence, premature ejaculation is also one of the most common cases encountered in the clinic. For this surgery to treat premature ejaculation. The guidelines of the Chinese Medical Association, Male Branch, have given the answer: not recommended because its effect is unclear and it can also lead to changes in erectile hardness and sexual sensation of the patient. Second question: Is there a cure for premature ejaculation? There is no cure for premature ejaculation, only medication to prolong the ejaculation time, that is, to reduce the sensitivity of the glans. The best drug at the moment is: Bilirubin. The normal duration of sex is 3-8 minutes, not 15 or 30 minutes. The cause of premature ejaculation is high sensitivity of the glans or poor ejaculation control. Therefore, for bad sexual function, not necessarily kidney deficiency, need to be in the regular hospital professional male doctor’s consultation to find out the cause of the disease, the right treatment. I wish all male friends to restore their former virility.