Here is the English translation of the provided text: "Masterbation for 20 years leading to severe premature ejaculation, medication not working, what to do?"

Patient's question:

Had sex for twenty years, now premature ejaculation is very serious, have eaten a lot of Chinese medicine, the effect is not too good, how should I treat

Doctor's answer:

According to the situation you described, you should first rule out possibilities such as prostatitis. It is recommended that you go to the hospital for a prostatic fluid test to confirm the diagnosis, and then receive active treatment. If necessary, you can take Jin Suo Gu Jing Wan to regulate your condition. If the effect is not significant, you may consider undergoing a penile dorsal nerve resection surgery. The daily treatment for premature ejaculation patients mainly involves symptomatic treatment. Patients can take some oral medications, supplemented with vitamins, and pay attention to self-care, proper diet, and avoid cold foods.