Patient's question:
Okay, here is the translation following your instructions:Today is the fourth time I had sex with my girlfriend, but I ejaculated after only a few thrusts? Is that normal?
Doctor's answer:
The occurrence of premature ejaculation is mostly related to psychological factors. Tension, fear, and anxiety during sexual activity are the main causes of premature ejaculation, which often stem from early excessive masturbation. When young adults engage in rapid masturbation without a sexual partner for ejaculation, followed by regret and guilt afterward, the psychological fear can lead to premature ejaculation after marriage. If the wife cannot forgive and scolds her husband for being incompetent, it can exacerbate the development of premature ejaculation. Constant ridicule and abuse from the wife can also trigger situational premature ejaculation. Therefore, the wife's attitude has a significant impact on the treatment of premature ejaculation in men.On the night of a wedding, some people may experience premature ejaculation due to excessive tension. This type of premature ejaculation is often caused by overexertion in preparing for the wedding, combined with a period of abstinence before marriage, or the reunion of a long-separated couple, leading to temporary premature ejaculation. With some rest and relaxation, this type of premature ejaculation may sometimes resolve on its own. Early sexual experiences, extramarital sex out of fear of being discovered, and hasty actions that become habitual are also among the causes of premature ejaculation. Poor living conditions, living in a multi-generational household, or a nursing mother experiencing sexual indifference and lack of climax, which pressure the male partner to act quickly, can also lead to premature ejaculation over time.
Since premature ejaculation is caused by rapid masturbation, it can also be eliminated through manual methods. When nearing ejaculation, immediately stop masturbation and divert attention to prevent orgasm. Through repeated training, gradually extend the time before ejaculation until it occurs after more than 15 minutes. This helps control sexual desire and ejaculation, providing some therapeutic effect for premature ejaculation.
Sexual activity is a mutual effort between husband and wife. The wife can also stimulate the penis to achieve erection, then stop the stimulation before ejaculation, gradually reducing the male's sexual desire. Repeating this process three or five times before ejaculation can raise the threshold of sensitivity in the male reproductive organ, helping to develop a habit of prolonging or delaying ejaculation.
For posture correction, the woman can assume the dominant position during intercourse. When the man is about to ejaculate, the woman can withdraw from the penis and use the glans compression method or scrotal traction method to slightly reduce arousal before resuming intercourse. This not only prolongs ejaculation time but also treats premature ejaculation, allowing both partners to reach climax together.
In treating premature ejaculation, both partners must cooperate. The wife should avoid blaming her husband and should actively assist and train him. Men can also apply 1% Darvon cold cream or procaine ointment to the glans to reduce stimulation during sexual activity.
The dietary treatment for premature ejaculation, according to traditional Chinese medicine, is believed to be caused by excessive indulgence and excessive sexual activity, leading to damage to qi and blood and a decline in the life gate. The treatment principles are: first, to restrain sexual desire, and second, to nourish the kidneys and replenish essence. Dietary therapy has specific effects for premature ejaculation. In daily meals, it is important to include medicinal foods that warm the kidneys and invigorate yang to ensure the fullness of kidney essence. Foods that strengthen yang and replenish essence, such as chives, walnuts, honey, royal jelly, dog meat, lamb, sheep kidneys, dog kidneys, deer meat, deer antlers, ox antlers, and external kidneys of pigs and sheep, should be consumed regularly. Vegetables and fruits should also be included to meet vitamin needs, especially vitamin B1, which maintains the balance between nervous system excitation and inhibition. Alcohol should be avoided, and adequate sleep should be ensured.
The following medicinal foods have unique functions in preventing and treating premature ejaculation and can be selected for consumption.