How can premature ejaculation be treated better?

Patient's question:

This year, I entered marriage for the second time, and my wife is six years younger than me. After the marriage, I discovered that my sexual function was experiencing "troubles," not only was it difficult to get an erection but also I couldn't last long. Many attempts ended in failure. I'm just over forty, and in my first marriage, our sex life was quite harmonious, with no recurring issues. I have a very good relationship with my current wife. How can I better treat premature ejaculation?

Doctor's answer:

Premature ejaculation refers to the inability of the penis to become erect, making it impossible to complete sexual intercourse successfully. Of course, this makes it very difficult for the female to conceive. However, premature ejaculation should not be mistaken for infertility. There are many reasons for male infertility, primarily referring to insufficient numbers of sperm in the semen that are of normal quality, which prevents the sperm from fertilizing the egg. Men with premature ejaculation may have normal semen and sperm, but they cannot achieve the goal of fertilizing the egg simply because they cannot complete sexual intercourse successfully.

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