Patient's question:
I don't know if it's because I'm getting old, my stamina isn't what it used to be, my kidneys are weak, or something else. Lately, my sex life with my wife has been terrible. I always have trouble getting erect, and even when I do, it's not firm. I finish within minutes. What should I do?Doctor's answer:
Premature ejaculation is fundamentally the result of an excessively low threshold for ejaculation stimulation. Treatment involves lowering the ejaculation stimulation threshold and enhancing a man's tolerance to sexual stimulation. Men can learn to control the timing through sexual activity. The wife can also help by caressing the penis to achieve an erection, then having the husband lie face down while she sits beside him or between his legs to facilitate easy stimulation. Once the husband feels the approaching premonition of sexual climax, she should immediately stop and resume the massage only after the premonition of ejaculation completely disappears. This can help lower the ejaculation threshold.