How is premature ejaculation treated?

Patient's question:

I am 25 years old. I started masturbating when I was 17 and did it quite frequently. Recently, my family introduced me to a partner. Everything about them seems great, except that I've realized I might have premature ejaculation. I think it might be due to my past masturbation habits. I am really suffering now. Could you please tell me how is premature ejaculation treated?

Doctor's answer:

It is likely caused by excessive sensitivity of the glans. Physical therapy: Shortwave diathermy in the lumbosacral region, mineral baths, warm baths, etc., can also be used as treatment. Penile dorsal nerve block surgery: Since premature ejaculation is primarily related to the penile nerves, we target the penile dorsal nerves for treatment. This approach is effective for persistent premature ejaculation caused solely by excessive sensitivity of the glans nerves. Psychological therapy: A small portion of premature ejaculation is attributed to psychological factors. Therefore, methods such as distraction, speculation, and aversion should be applied to correct misconceptions about sex in male patients. This helps alleviate anxiety, aversion, and unease, thereby providing initial treatment.

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