How to deal with premature ejaculation and nocturnal emissions?

Patient's question:

On average, once a week at night, I have wet dreams. When having sex with my girlfriend, I twitch once after penetrating and then ejaculate. If it's slower, I can last for a few minutes. What should I do?

Doctor's answer:

The majority of causes of premature ejaculation are attributed to psychological factors. If there are no specific discomforts in other parts of the body, psychological treatment should be considered first. This involves correcting the adverse conditioned reflexes formed due to overly hasty and tense sexual exercises, eliminating excessive anxiety, as excessive anxiety can lead to a loss of control. Premature ejaculation and nocturnal emissions should be investigated to identify the underlying causes of blood deficiency. Treatment should be tailored to the specific cause, which is key to successful management. Avoid sleeping in a prone position and establish a proper sexual routine. For male patients, it is crucial to seek medical attention at a professional and reputable hospital immediately. Additionally, it is important to quit smoking and drinking.

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