How should premature ejaculation be handled?

Patient's question:

I sometimes have sex for one or two minutes, and sometimes for five or six minutes. Is this normal? Is it a symptom of premature ejaculation? How should it be treated? What should I do about premature ejaculation?

Doctor's answer:

In clinical diagnosis, sexual activity lasting between five minutes and about half an hour is considered normal, while duration shorter than five minutes is termed premature ejaculation. Premature ejaculation is a sexual dysfunction, and the causes of sexual dysfunction include several factors such as neurovascular factors, endocrine factors, as well as organic factors: primarily due to chronic inflammatory diseases like prostatitis, seminal vesiculitis, posterior urethritis, or papillary glanditis, prolonged sexual intercourse, or changes in neuropathology, or other genital inflammation such as short frenulum of the prepuce, which cause pain during penile erection and lead to sexual dysfunction. The harm of premature ejaculation should not be underestimated. Therefore, men suffering from premature ejaculation absolutely should not feel ashamed to speak up or adopt a attitude, nor should they resort to blind treatment. It is recommended to seek medical examination and diagnosis to confirm the condition and then receive targeted treatment. In addition to treating premature ejaculation, it is advised that patients pay attention to their diet in daily life.

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