How should people with premature ejaculation be treated?

Patient's question:

Started having sex at a very young age, it's been a long time. Now that I have a girlfriend, I've realized I can't get an erection. Even when I do get one, it's very soft. After going out, I finish almost immediately. But during regular sex or when watching porn, I can get an erection successfully. I also have morning erections, but they don't seem very hard either. How should I treat premature ejaculation?

Doctor's answer:

For premature ejaculation, there are many possible causes. Medications can be tried for treatment, and lifestyle habits should also be adjusted. During sexual intercourse, it may be one of the causes, but it is not necessarily the main cause. Oral medications to delay ejaculation, topical medications during sexual activity, and using condoms to shorten intercourse time can be considered. Additionally, behavioral therapy is necessary for a comprehensive evaluation and potential cure. Premature ejaculation can be alleviated, but the treatment period is usually long, and relapse is common after treatment. Therefore, active cooperation with the doctor and appropriate medication use are essential during the treatment process.

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