Patient's question:
A 42-year-old male previously experienced hardness while lying down during sexual activity, but when he sat up and put on a condom, the hardness disappeared. The hardness during stimulation indicated the need for ejaculation. Generally, he would ejaculate just as he entered the vaginal opening or before insertion. How can one treat weak erection and premature ejaculation, where ejaculation occurs without penetration?Doctor's answer:
In terms of treatment, it is first necessary to adjust one's mindset. Over 90% of the issue is psychological. Self-learning is also possible. When nearing ejaculation, stop the activity and perform exercises for the perineal muscles between the scrotum and anus. Practice tightening 20 times, holding each contraction for 1-2 seconds, then relaxing. Perform this exercise 3 times a day. Additionally, communicate more with your partner, regulate the frequency and number of sexual encounters, avoid spicy and stimulating foods, wear loose clothing, quit smoking and drinking, and maintain dry and hygienic genital health. Oral traditional Chinese medicine such as Loxiaogu Jing Wan and Liuwei Dihuang Wan, or Western medicine like Bicalutamide, can be taken. Since you are currently finding the oral Shenbao Pian effective, you can focus on taking it. Generally, patients with erectile dysfunction can use dietary therapy as supplementary treatment while understanding the symptomatic treatment. In daily diet, it is crucial to avoid excessive hunger or fullness and never overeat or binge on food.