How to improve premature ejaculation caused by transitional masturbation

Patient's question:

Only once, now it's happened several times a week. Later, after finding a girlfriend, we had sex shortly after, but after that, I always felt like I had premature ejaculation, finishing in just a few minutes.

Doctor's answer:

1. Psychological therapy: It requires coordination and agreement from both partners, understanding the possibility of reconstructing the reflex of ejaculation, completely eliminating the patient's anxiety, and building confidence, which are prerequisites for treatment.
2. Behavioral method guidance: Guide the patient to experience the sensations before the occurrence of another orgasm. Before reaching an uncontrollable point of ejaculation, increase or stop the penile thrusting to reduce sensitivity. The sexual position can be changed to the woman-on-top position, using a thrusting-stop-thrusting pattern to gradually lower the threshold for response and prolong the time to ejaculation.
3. Medication treatment: Apply 1% procaine or 2% lidocaine topical anesthetic to the glans penis 10 minutes before intercourse to reduce the sensitivity of the glans.

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