What are the reasons for primary premature ejaculation and impotence? Is it important?

Patient's question:

I've had a girlfriend for 3 years! Always premature ejaculation! Erection just from kissing! I got circumcised long ago! Still not working! Erection during intercourse! Unable to control it!

Doctor's answer:

Most cases of premature ejaculation are caused by psychological factors, and it has nothing to do with the foreskin. The treatment for premature ejaculation requires a comprehensive evaluation and long-term approach—impossible to cure in just one or two days.
Second, it’s important to strengthen the pelvic floor muscles by exercising them to control ejaculation.
Third, continuous practice of sexual experience and techniques is necessary, such as choosing a less sensitive position. Additionally, medications like dapoxetine and lidocaine cream can be used.
For premature ejaculation patients, timely treatment can reduce the condition’s severity. If left untreated, it may affect overall health. Therefore, patients should seek timely medication and avoid overexertion in daily life while maintaining good personal hygiene.

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