How to distinguish between severe premature ejaculation and severe nocturnal emission

Patient's question:

Hello, I have severe premature ejaculation (two or three times a week or continuously for two days), sometimes twice in one night, and I only realize it after waking up. Besides the severe premature ejaculation (ejaculating as soon as it's inserted).

Doctor's answer:

Masturbation generally lasts for more than three minutes, of course, everyone's suggestion is different. As age increases, sexual function and physical strength will improve. It is recommended to pay attention to exercising regularly to enhance physical fitness and take Shen Yang capsules orally for a month to see if it helps.
Frequent nocturnal emissions can be checked at the urology department of a hospital for a prostate ultrasound and prostatic fluid test to see if there is prostatitis. Treating prostatitis can reduce nocturnal emissions and stabilize premature ejaculation. The condition of nocturnal emissions is prone to recurrence, requiring long-term medication treatment.
Moreover, for male patients, it is necessary to seek medical attention at a professional and reputable hospital. Treatment should be considered based on the results of the examination.

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