How should premature ejaculation be treated effectively?

Patient's question:

The glans penis is very sensitive due to premature ejaculation. What can be done to treat premature ejaculation? Everything else is fine except for 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 mental factors, or may be caused by conditions such as sensitive glans, kidney qi deficiency, or prostatitis.
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, oral Jin Gui Shen Qi Wan can be used for treatment. If the glans is overly sensitive, a delayed-release spray can also be used for symptomatic relief.

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