What are the reasons for premature ejaculation and nocturnal emissions?

Patient's question:

Unmarried, had frequent sexual activity in youth, experienced nocturnal emissions for over 10 years, visited doctors, and consumed many traditional Chinese medicines. Some doctors conducted thorough examinations and diagnosed prostatitis, while others carefully examined and said there was no prostatitis, except for damp scrotum in winter; no other symptoms. What causes nocturnal emissions and premature ejaculation?

Doctor's answer:

The treatment of premature ejaculation first involves psychological therapy to alleviate feelings of tension and anxiety, and to adjust any adverse conditioned reflexes arising from rushed sexual activity, thereby reducing control. Premature ejaculation is generally categorized as either physiological or pathological. Psychological factors can influence it, and it is hoped that maintaining a cheerful and relaxed mood while focusing attention can help. If the cause is pathological, external treatment methods such as medication may be necessary. Of course, dietary adjustments should also be considered. I hope this helps you. Premature ejaculation tends to be recurrent, requiring long-term oral medication.

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