How should premature ejaculation be treated most effectively?

Patient's question:

The glans penis is very sensitive due to premature ejaculation. Is there anything that can be done for premature ejaculation? Everything else is fine, just the premature ejaculation.

Doctor's answer:

If the time from the penis entering the vagina to ejaculation is less than 2 minutes, it is considered premature ejaculation. It is generally caused by psychological and emotional factors, or may be due to conditions such as sensitive glans, kidney qi deficiency, or prostate diseases.
Guidance and Recommendations: Treatment for premature ejaculation must identify the underlying cause. It is recommended to visit a hospital early for a thorough examination of glans sensitivity, as well as tests for prostatic fluid and color Doppler ultrasound, to determine the appropriate treatment. If no abnormalities are found, a follow-up visit to the traditional Chinese medicine department may be necessary. If kidney qi deficiency is diagnosed, Jin Gui Shen Qi Wan (Golden Treasury Kidney Qi Pill) can be taken orally for treatment. If the glans is overly sensitive, a delayed-release spray can also be used for symptomatic relief.

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