Patient's question:
Due to prolonged masturbation for six or seven years, I now suffer from premature ejaculation. When having sex with my girlfriend, I get hard quickly but lose erection faster. I ejaculate shortly after penetration with minimal movement. Each time, I need to have sex twice to become numb and insensitive. What medicine should I take for premature ejaculation?Doctor's answer:
The cause of premature ejaculation is due to prolonged and excessive masturbation, as well as nervousness. It is recommended to practice rapid ejaculation and gradually get accustomed to premature ejaculation. Long-term or frequent masturbation keeps the central nervous system in a state of excitement, leading to habitual premature ejaculation. Clinical diagnosis and treatment for premature ejaculation can involve topical medications and oral medications. Examples of topical anesthetics include compounded lidocaine cream and tetracaine cream. Oral medications are based on phosphodiesterase type 5 (PDE5) inhibitors, such as sildenafil tablets and paroxetine tablets. Specific treatment should be taken under the guidance of a physician.