What is primary premature ejaculation and how to treat it

Patient's question:

I am 19 years old this year, just got a girlfriend, and only then did I realize that I have premature ejaculation. I want to know if I have primary premature ejaculation.

Doctor's answer:

Hello, primary premature ejaculation refers to a condition where, from the first sexual experience onwards, every sexual encounter lasts less than 1 minute or more than 50% of the time lasts less than 3 minutes. The efficacy of medication for primary premature ejaculation is relatively lower compared to secondary premature ejaculation. Generally, patients are advised to first choose conventional medication treatment, with a course of 3 months, including traditional Chinese medicine, Western medicine, and behavioral therapy. Studies show that 80%-90% of patients respond effectively to medication. If medication treatment is ineffective, surgical intervention may be considered, with surgical methods including dorsal nerve block and general desensitization surgery.

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