Here is the translation of the provided text into English: "Years of premature ejaculation trouble, how to solve?"

Patient's question:

Premature ejaculation, time period test, examination results: none. Previous treatment history and effectiveness: none. Concerns about any help: cure.

Doctor's answer:

Premature ejaculation refers to the inability to maintain normal sexual life, where ejaculation occurs shortly during masturbation (3-5 minutes is considered normal). Most people with chronic prostatitis also suffer from sexual dysfunction, so premature ejaculation and infertility should not be treated in isolation. The foreskin can also lead to premature ejaculation because it covers the sensitive glans for a long time. Premature ejaculation varies in severity: in some cases, ejaculation occurs before the penis even touches the female partner; in others, it happens upon contact with the outer genitalia or vaginal opening; and in some, it occurs shortly after the penis enters the vagina.

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