Patient's question:
I have had the habit of sexual intercourse for about twenty years. Now that I have found a girlfriend, I want to quit, but after quitting, I suddenly feel as if I have premature ejaculation. Every time I have sex with my girlfriend, it takes a long time for foreplay, and my penis doesn't get hard.Doctor's answer:
Treating premature ejaculation requires first identifying the underlying causes. The causes of premature ejaculation can be categorized into psychological factors and organic inflammation. Psychological factors leading to premature ejaculation refer to the inability to achieve an erection during sexual activity, or the inability to maintain an erection during arousal, or the inability to stay rigid after entering the vagina. Patients with this type of premature ejaculation should alleviate mental burdens, regulate emotions, and prevent emotional shocks. As long as the psychological barriers are removed, the symptoms of premature ejaculation generally improve and can be effectively managed.For premature ejaculation caused by endocrine disorders, hormone therapy can be used. For cases influenced by medication, discontinuing the drug or switching to an alternative should be considered. For vascular premature ejaculation, vascular surgery may be applicable. In cases where the underlying cause of certain organic premature ejaculation cannot be resolved, penile implant surgery can be employed, all of which can yield good results.