Patient's question:
I and my partner experience premature ejaculation during sexual activity, even before the penis enters. In the morning, the penis is also 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. I am very distressed.Doctor's answer:
The condition you mentioned is primary premature ejaculation, which is characterized by a slightly lower testosterone level 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 should be taken. Hormonal treatments include:- Testosterone propionate: 25 mg, intramuscular injection, every other day, alternating for 2 weeks.
- Human chorionic gonadotropin (HCG): 500–1000 units, intramuscular injection, once or twice a week, alternating 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.