How to deal with a very short sexual life span?

Patient's question:

I am 21 years old. When I have sex with my girlfriend, it lasts a very short time. I used to have the habit of masturbating when I was young. Is this related to premature ejaculation?

Doctor's answer:

For the treatment of premature ejaculation, prevention is key. First, it is important to enhance sexual education and understand the physiological differences between female and male sexual climax, which often occurs later in women. If premature ejaculation occurs occasionally between partners, it is advisable not to blame the male. For more significant cases of premature ejaculation, the couple may temporarily separate for a period of time. This can help break the established pathological conditioned reflex and allow sexual function to be adjusted and the reflex of ejaculation to be rebuilt. Close cooperation between both partners can also extend the duration of intercourse, ensuring mutual sexual satisfaction. During intercourse, it is important to avoid excessive excitement. If ejaculation is imminent, stop thrusting the penis in and out of the vagina and divert attention from the sexual organs to non-sexual areas. Those who experience premature ejaculation due to excessive indulgence or prolonged masturbation may gradually reduce the occurrence of premature ejaculation by practicing moderate abstinence and abstaining from masturbation. Individuals with premature ejaculation caused by organic disorders should receive treatment targeting the underlying cause.
Western Medication Treatment:
A. Oral Medication: To reduce excitability, low doses of anti-anxiety or sedative medications may be administered.

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