What medication is most effective for premature ejaculation?

Patient's question:

I often suffer from premature ejaculation when I have sex with my female partner. It usually doesn't last more than three minutes, which makes me feel very embarrassed and damages my self-confidence. My girlfriend is also not very happy about it, and we both feel very awkward. I want to ask what medication is most effective for premature ejaculation?

Doctor's answer:

Premature ejaculation, from the perspective of Traditional Chinese Medicine theory, is considered a manifestation of kidney yin deficiency. Medications for kidney yin deficiency can be used, such as Jin Suo Gu Jing Wan (Golden Lock Firm Essence Pill) and Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill), among others. However, the actual clinical efficacy is often unsatisfactory.
From the perspective of Western Medicine theory, behavioral exercises and drug desensitization can be performed. The main approach involves the use of topical medications and psychotropic oral medications. Topical medications are essentially local anesthetics, with commonly used examples including lidocaine cream and diclofenac.

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