Is rapid ejaculation a symptom of premature ejaculation?

Patient's question:

What are the symptoms of premature ejaculation? Is it a symptom of premature ejaculation if you ejaculate quickly? Why do I always finish quickly during sexual activity?

Doctor's answer:

Ejaculation too quickly is a symptom of premature ejaculation, and there are many reasons that can lead to it. For example, conditions such as excessive foreskin, prostatitis, psychological issues, or an overly sensitive glans penis can all cause premature ejaculation. In terms of treatment, it is essential to undergo targeted examinations first to identify the underlying cause before proceeding with symptomatic treatment. If premature ejaculation is caused by prostatitis, then the focus should be on treating the prostatitis, which will gradually lead to recovery. If it is caused by a highly sensitive glans penis, then a penile (penile dorsal nerve block) can be performed to permanently cure premature ejaculation. For other causes, symptomatic treatment should be applied. In summary, do not attempt to treat premature ejaculation blindly before undergoing thorough examinations and identifying the exact cause.

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