Does this count as premature ejaculation? How to handle it cleverly and appropriately

Patient's question:

It's just that I can't maintain it for long, and it doesn't get hard to a 90-degree angle. Sometimes I finish before entering. But that's because I haven't done it for a long time. If I do it the second time, it won't happen. But the second time, if it twitches a bit, I feel it coming. It's better with a condom. But sometimes, for no reason, it gets soft. I basically have morning erections every day. I often get hard. At 13, I used to masturbate. I didn't know what I was doing. It was very frequent. Now it's much less. Examination results: none. Past treatment history and effectiveness: none. What kind of help is needed: I can last longer. I can get a 90-degree erection or more.

Doctor's answer:

The causes of premature ejaculation are multifaceted, such as psychological factors, high penile sensitivity, and kidney deficiency.
1. It is recommended that both partners cooperate well during sexual activity, avoid rushing, and proceed slowly to suppress excessive excitement, which can help shorten the duration of intercourse.
2. Using condoms can reduce penile sensitivity. It can lower local excitement in the glans, potentially shortening masturbation time by more than 20%.
3. If you have kidney deficiency, you can take Jin Suo Gu Jing Wan or Qian Mao Shu Le Jiao Wan to tonify the kidneys.
The daily treatment for premature ejaculation primarily involves oral medications. Patients can use some oral drugs and supplement with vitamins, while also maintaining a regular schedule and avoiding smoking and alcohol!

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