How to treat premature ejaculation with rapid ejaculation?

Patient's question:

At the age of 14, I started masturbating. At first, I did it three or four times a week, but after learning that masturbation can lead to premature ejaculation, I gradually reduced it to once a week. However, I couldn't stop the urge. Recently, when I had sex with my girlfriend, I only managed to last two or three minutes before finishing. I felt very frustrated, and my girlfriend teased me. Later, I read online that the first time is usually quick, but even masturbation was still fast. I then tried masturbating twice in one night, and the second time lasted longer. In the morning, it also lasted a bit longer. Eventually, I felt I wasn't doing well and bought delayed ejaculation products online. They are effective, but I feel embarrassed using them in front of my girlfriend. How can I treat premature ejaculation when ejaculation is too fast?

Doctor's answer:

Here is the English translation of the provided text, with the return characters kept as they are:
"Hey handsome, based on your description of the situation and symptoms, could you have phimosis? Phimosis and frequent sexual intercourse can both lead to erectile dysfunction and premature ejaculation. It is recommended that you stop sexual intercourse as soon as possible. If you have phimosis, consider getting a circumcision. Wishing you health and happiness. Premature ejaculation can be alleviated, but the treatment process is generally slow, and relapse is common after treatment. Therefore, it is essential to actively cooperate with your doctor during treatment, use medication appropriately, and avoid sitting or riding for long periods. Additionally, patients should pay attention to personal hygiene."

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