Is rapid ejaculation without a condom considered premature ejaculation?

Patient's question:

I am 22 years old, and I have been having sexual activity for a year. My first time without a condom resulted in an immediate ejaculation. I tried three times in one night, and it happened every time. After that, I always used a condom, and each time it lasted 10 minutes, 20 minutes, or even much longer. Yesterday, I didn't wear a condom, and as soon as I went out, I experienced weak ejaculation. How can I improve this?

Doctor's answer:

This situation appears to be indicative of premature ejaculation, which is related to the high sensitivity of the glans. Condoms can reduce the sensitivity of the glans, resulting in longer duration. In this case, it is important to first learn to have sexual activity without using condoms, and then undergo desensitization therapy to suppress the guilt associated with ejaculation. If necessary, medications to reduce glans sensitivity can be used for topical application, which tends to be more effective.
For patients with premature ejaculation, timely treatment can help reduce the occurrence of the condition. If left untreated, it may negatively impact overall health. Therefore, patients should take medication promptly and avoid overexertion in daily life.

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