What methods can be used to treat premature ejaculation?

Patient's question:

Since 2008, sexual intercourse has not lasted more than two minutes.

Doctor's answer:

Premature ejaculation (PE), as a male sexual dysfunction, has a unified definition composed of the following parts:
1. Primary premature ejaculation: Repeated ejaculation or persistent ejaculation within approximately 1 minute after the first sexual contact with the vagina.
2. Secondary premature ejaculation: Ejaculation latency time decreases to 3 minutes or less after the first sexual contact with the vagina.
3. Delayed ejaculation disorder occurs in all or almost all vaginal insertions.
4. Negative personal impacts, such as anxiety, distress, confusion, and/or avoidance of sexual intimacy.
If this applies to you from the first sexual experience, my advice is:
1. Many young people lack sexual experience and skills when they first engage in sexual activity, which often leads to conditions like erectile dysfunction and premature ejaculation. Therefore, it is recommended not to be overly tense or excited during sex, to focus more on sexual techniques and foreplay, and to pause when sexual stimulation is strong, paying attention to the rhythm.
2. If you lack confidence during sexual activity, many people with premature ejaculation have difficulty controlling ejaculation. In such cases, it is advisable to try medication, such as Viagra, Priligy, or Cialis, which are effective with fewer side effects.
3. Surgical treatment is not recommended.

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