Patient's question:
Here is the English translation of the provided text, with the exception of the line breaks which remain unchanged:"10 years of sexual history, previously frequent but now severely restrained. Haven’t had any in the last month. Currently, even with minimal friction, it reaches orgasm but never gets very hard. However, it still happens with just friction. Then, it doesn’t stay hard or only stays hard for a few minutes before softening. The hardness isn’t very firm—it’s a very soft kind of hard. But during masturbation, it can still get very hard and stay hard for a long time. The issue is that it doesn’t get hard during intercourse. Not divorced, no regular sexual life either, as intercourse is not normal now. Haven’t taken any medication. Urine has foam and morning erections occur. Hello, do you need to take any medication to treat this? Can it be cured? What should be noted in daily life? Most importantly, what medication should you take to stabilize this? Thank you very much, doctor."
Doctor's answer:
Premature ejaculation refers to the inability of the penis to maintain sufficient erection for satisfactory sexual intercourse in the past three months.1. Selective phosphodiesterase type 5 inhibitors: such as sildenafil. Appropriate methods, sufficient dosage, and repeated use may reduce efficacy.
2. Apomorphine hydrochloride tablets: effective for mild to moderate patients and those with psychological causes.
3. Testosterone replacement therapy: suitable for patients with low testosterone levels and excluding other endocrine-related testicular functional decline.
Premature ejaculation can be cured, but the treatment process is generally slow, and relapse is common after treatment. Therefore, medications should be used according to symptoms during treatment. Additionally, patients should avoid prolonged sitting or riding and pay attention to personal hygiene.