Patient's question:
Patient is male, 25 years old, and has been in good health previously. I have a long-term habit of masturbation, lasting for several years, sometimes quite severe. On average, there are 2-3 days per week, and occasionally 2 times. Last year, when I had sex with my girlfriend for the first time, the first erection was normal, but after the second erection, it went soft shortly after, making it impossible to continue. After some time, this issue resolved. From December last year to May this year, when I had sex with another girlfriend, the same situation occurred, but it eventually improved. However, last week, when I had sex with my girlfriend again, the first time was normal, but I ejaculated after about 5 minutes. Then, after the second erection, it went soft shortly after, making it impossible to continue. Yesterday, after having sex with my girlfriend again, the first time was normal, but after the second erection, it went soft shortly after. I used to basically...Doctor's answer:
Pay attention to the impact of bad living habits/fatigue-related injuries or qi and blood deficiency due to a lack of regular physical exercise.Medical advice: Focus on enhancing blood circulation and resolving blood stasis, as well as replenishing qi and blood through medicinal nourishment to stabilize blood circulation and functional state. Pay attention to strengthening physical function exercise, maintain early-to-bed and early-to-rise habits, and align with nature.
When patients face the effects of premature ejaculation, we should promptly implement symptomatic treatment principles and avoid delaying medical consultation. If premature ejaculation does not improve with treatment, it is essential to promptly reassess and adjust the treatment plan.