Patient's question:
I feel like I have symptoms of premature ejaculation. When I was young, I had frequent sexual activity. I had a circumcision for phimosis. Now, while I can get erect, it's easy to get soft, requiring significant and continuous stimulation. Otherwise, it tends to get soft. For example, during sexual activity, if my partner is not very responsive, I tend to lose my erection while we're in the middle of it, or I get soft when my hand stops moving.Doctor's answer:
Erectile dysfunction can be treated with Sildenafil or Jin Gao. The causes of premature ejaculation are mostly frequent sexual intercourse, excessive sexual exertion, excessive stress, overthinking, and irregular lifestyle. Traditional Chinese Medicine (TCM) and herbal medicine have distinct advantages in syndrome differentiation and treatment. Patent medicines such as Suo Yang Gu Jing Wan (Lock Yang Solid Essence Pill), Can Rong Shen Shen Pian (Panax Ginseng and Rhinoceros Horn Ren Shen Pian), Compound Xuan Ju Capsule, and Shen Bao Pian (Kidney Treasure Tablet) can be taken. These medications also require syndrome differentiation based on tongue appearance for effective treatment. Herbal medicine tends to be more effective.