Why does premature ejaculation occur

Patient's question:

Penile numbness, premature ejaculation during sex, the erection can last a long time when hard, but it gets erect as soon as it touches and, and there is some excess foreskin, the foreskin length is completely covering, and the urethral opening at the front will be exposed when erect. I don't want to have a foreskin surgery, I often clean it. Last time I went to the hospital for a thorough check-up, the doctor said to do a prostatic fluid test, but I didn't do it because I was afraid of pain. I suspect I have prostatitis, and I've noticed this problem for over a year now. I want to ask if I can take some prostatitis medication myself to see if it improves, but I don't know, and I'm afraid that prostatitis medications come in various types. Because I don't know if prostatitis only falls under one major category, I want to ask the doctor if I can take some medication myself to see the effect, and which types of medication I can take.

Doctor's answer:

Based on your description, it is likely that your symptoms are related to premature ejaculation, which may be associated with or caused by prostate diseases. Since you have excessive foreskin, it is recommended to have it surgically removed.
Guidelines and suggestions: The most accurate way to diagnose prostatitis is through a detailed examination of prostatic fluid. If you are concerned about discomfort during the examination, you can first undergo a color Doppler ultrasound of the prostate. If prostatitis is diagnosed, you can take Cefixime dispersible tablets and Levofloxacin tablets for anti-inflammatory treatment, combined with oral Chinese medicine Pulegan tablets for therapy.
Premature ejaculation can be cured, but the treatment period is generally long, and the condition is prone to recurrence after treatment.

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