Does premature ejaculation belong to kidney yin deficiency or kidney yang deficiency?

Patient's question:

My friend, she is only 25 years old now and has already experienced premature ejaculation. It is said that premature ejaculation is caused by a deficiency in the kidneys. However, kidney deficiency can be divided into yin deficiency and yang deficiency. Could you please tell me if premature ejaculation is due to yin deficiency or yang deficiency in the kidneys?

Doctor's answer:

Based on premature ejaculation alone, it is not possible to determine whether there is kidney yin deficiency or kidney yang deficiency. It is mainly based on other symptoms, such as the appearance of stool, how easily one sweats, dizziness or headaches, or whether there is an excess of liver fire, dry mouth, pulse, or tongue coating. These are the main criteria for making such determinations. Generally, premature ejaculation in men can be categorized as primary or secondary, and the sensitivity of the pudendal nerve can be examined.

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