Patient's question:
What is the reason for premature ejaculation during sexual intercourse, accompanied by pain during intercourse, insomnia, frequent dreams, and lower back pain? What is the reason for erectile dysfunction with painful intercourse for over a month?Doctor's answer:
The first step in treating premature ejaculation is to identify the underlying causes. If it is organic premature ejaculation, the primary disease must be treated. For premature ejaculation caused by endocrine disorders, hormone therapy can be used. For cases influenced by medication, discontinuing the drug or switching to an alternative should be considered. For vascular premature ejaculation, vascular surgery may be employed. In cases where the cause of organic premature ejaculation cannot be resolved, penile implant surgery can be used. If it is psychological premature ejaculation, psychological treatment should be adopted. It is best to seek treatment at a reputable urological specialty hospital, and never trust small advertisements.