Patient's question:
I and my partner experience premature ejaculation during sexual activity, even before the penis enters. In the morning, the penis is normal, but as soon as it touches my partner, I lose my erection. We used to have a very good relationship, but now I always feel guilty towards her and unable to enjoy her. It's very painful for me.Doctor's answer:
The condition you mentioned is primary premature ejaculation, which is characterized by slightly lower testosterone levels within the normal range. Before sexual activity, medications such as those that boost qi and nourish blood, generate semen and replenish marrow, and warm yang to solidify the kidneys may be needed. Hormonal treatments include:- Sex hormone therapy: Suitable for hypogonadal premature ejaculation. Testosterone propionate 25 mg should be administered intramuscularly every other day, alternating with this treatment for 2 weeks.
- Hormone-releasing hormone (HGH) therapy: 500–1000 units should be injected intramuscularly once or twice a week, alternating with this treatment for 4 weeks.
In addition to symptomatic treatment for premature ejaculation, patients should also focus on proper care, such as maintaining a balanced diet and keeping a positive mood. At the same time, patients should pay attention to choosing a professional hospital for diagnosis to achieve better treatment outcomes.