Patient's question:
Male, 26 years old, previously had issues with weak erections and premature ejaculation. The doctor at the hospital said it was caused by inflammation affecting the arteries. In the first half of the year, he underwent surgery to clear the inflammation and also had his foreskin removed. After a year, things were fine, but now the same symptoms have reappeared, along with premature ejaculation again. How can premature ejaculation be differentiated between kidney yin deficiency and kidney yang deficiency?Doctor's answer:
Premature ejaculation refers to the condition where a man reaches orgasm and ejaculates quickly during sexual activity, either before or shortly after the penis enters the vagina, without allowing the woman to reach orgasm and preventing the sexual act from proceeding. If a man ejaculates before the penis enters the vagina or before any contact is made with the female reproductive organs, it is classified as severe premature ejaculation. Treatment primarily involves targeted therapy based on the underlying cause, which may include: psychological factors, prostatitis, excessive foreskin, and high sensitivity of the glans penis. Premature ejaculation also includes cases where a man, despite being able to achieve an erection, ejaculates too early, too quickly, and then becomes flaccid, making it difficult to focus on sexual activity. These cases of premature ejaculation, if left untreated, can progressively worsen over time.