At 19, masturbating for 7-8 years, now dealing with premature ejaculation - how to handle it?

Patient's question:

Currently 19 years old, male, has had sexual activity for 7-8 years, now experiencing premature ejaculation, sensitive glans

Doctor's answer:

According to the description, there is a history of frequent excessive sexual activity, and the issue of premature ejaculation has reappeared. It is considered that the causes may be glans sensitivity, kidney deficiency, and prostatitis. Medications that tonify the kidneys and consolidate essence can be taken for regulation. During sexual activity, some medication can be applied to reduce glans sensitivity and prolong ejaculation time. It is recommended to visit the urology department for a routine prostatic fluid examination and a color Doppler ultrasound of the urinary system to determine if prostatitis is present for further treatment. In daily life, it is important to avoid bad sexual habits, quit smoking and drinking, and avoid spicy and irritating foods. Avoid overwork and fatigue, and engage in regular physical exercise.