Patient's question:
Recently, I started dating a girlfriend again and had an issue where she was upset because I didn't last long. How can I fix this?Doctor's answer:
The most common cause of premature ejaculation is excessive sensitivity of the glans, which is related to poor lifestyle habits, phimosis, mental fatigue, or psychological stress. Based on your description, the treatment should follow the general principles of sexual therapy. Both partners should participate in the therapy to provide the patient with education on sexual physiology, eliminate various concerns, and help them understand that rebuilding normal ejaculation reflexes is achievable. The basic mechanism involves reducing stimulation and completely eliminating the link between stimulation and response. This can also be achieved by altering sexual positions or temporarily cohabiting while consciously preventing sexual stimulation. Using a double-layered condom can effectively reduce friction between the penis and vaginal wall, thereby lowering the level of stimulation.