How to treat premature ejaculation caused by masturbation?

Patient's question:

My brother has always had sexual activity, but it wasn't as frequent before. Lately, it has become much more frequent. Later, he got married to his wife, and after the marriage, he has been experiencing premature ejaculation. He went to the hospital for a thorough examination, and the doctor said it was caused by excessive sexual activity.

Doctor's answer:

The treatment principles consist of three points:
1. Psychological therapy: It requires coordination and agreement between both partners, understanding the possibility of reconstructing the reflex of ejaculation, completely eliminating the patient's anxiety, and building confidence, which is a prerequisite for treatment.
2. Guidance on sexual techniques.
3. Medication: Apply 1% procaine or 2% lidocaine topical anesthetic to the glans penis 10 minutes before intercourse to reduce sensitivity. Taking sedatives like phenobarbital and promethazine to lower the threshold of the ejaculation center, and using α-adrenergic blocking agents like phenoxybenzamine to reduce sympathetic nerve excitability, may all help prolong the time of ejaculation. In addition to timely treatment for premature ejaculation,

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