Is it difficult to treat premature ejaculation?

Patient's question:

Okay, here is the translation following your instructions:
It's done. Originally, it could still last over a minute. But now, it's less than 2 minutes. I don't know how to treat it anymore. I've taken so many medications, but it hasn't improved. Is surgery really the only option? What kind of assistance is needed: Is surgery absolutely necessary for treating premature ejaculation?

Doctor's answer:

Erectile dysfunction has many causes. Generally, premature ejaculation refers to a situation in sexual life where more than 50% of masturbation sessions cannot lead the female partner to reach orgasm. Severe premature ejaculation refers to a condition where, after the penis enters the vagina, there are fewer than 30 consecutive thrusts or the ejaculation occurs within 3 minutes. Severe premature ejaculation refers to a condition where, after the penis becomes erect, ejaculation occurs before it enters the vagina, or before it begins to thrust.
Advice: Different countermeasures should be taken based on the specific causes. The time spent comforting before masturbation should not be too short. The male partner should appropriately focus their attention and avoid excessive tension.

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