For the past 8 years, I have been suffering from **Erectile Dysfunction (ED)** and **Premature Ejaculation (PE)**. Additionally, I experience **sharp pain in my perineum (the area between my scrotum and anus)**, particularly when I cough. This pain may be related to a **childhood injury**: when I was young, I was hit forcefully in that area during a fight with a classmate. I have consulted both a **Sexologist** and a **Psychologist**, but unfortunately, my symptoms (ED, PE, and the pain) persist unresolved. I am very concerned about these ongoing issues. Could you please help me understand: