Premature ejaculation, nocturnal emissions, and frequent dreams: How to handle them intelligently and appropriately

Patient's question:

Ejaculates in less than a minute during sex, but wants to do it every day. If he doesn't have sex for a week, he experiences nocturnal emission once. What's wrong with him??
Past treatment history and effectiveness:
What kind of help is desired:

Doctor's answer:

Here is the English translation of the provided text, with line breaks preserved as instructed:
"Given your frequent nocturnal emissions, it is necessary to consider the possibility of seminal vesiculitis, which may lead to an increase in the secretion of the seminal vesicles, as well as unstable contraction, resulting in premature ejaculation. Prostatitis should also be ruled out.
Recommendation: You should undergo a routine examination of prostatic fluid and bacterial culture, followed by a routine examination of semen and bacterial culture. This will help identify the underlying cause and determine if there is any inflammation. After suppressing the inflammation, most cases can achieve stable intercourse duration.
Premature ejaculation has a significant impact on patients. Once symptoms are noticed, it is important to seek medical attention promptly while also focusing on self-care—such as eating more fruits and vegetables and avoiding foods. We hope that premature ejaculation patients can receive professional treatment."
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