Patient's question:
Hello doctor, I once went to Beijing Tibetan Hospital to see about premature ejaculation. After the doctor conducted examinations and tests, they said my condition was caused by two factors: one was mild prostatitis, and the other was excessive foreskin. I spent tens of thousands of yuan on treatment to address these two issues. However, the results for premature ejaculation were not good afterward. During sexual activity, I still ejaculated immediately after insertion. The same happened when performing oral sex on my wife. Touching the head of the penis or other actions were fine, but as soon as it was fully inserted, I lost control and ejaculated right away. Could it be that the base of the penis is extremely sensitive? Could you please explain this to me? Even the baseDoctor's answer:
Premature ejaculation refers to the condition where ejaculation occurs at the beginning of sexual intercourse, or even before intercourse begins. This condition can be effectively treated with Traditional Chinese Medicine (TCM), yielding relatively ideal results. The differentiation of premature ejaculation in TCM includes Yin deficiency with excess fire and Yin-Yang deficiency, with treatment primarily focusing on nourishing Yin, replenishing the kidneys, and tonifying essence. For those with excess fire, it is recommended to reduce the fire, while for those with Yang deficiency, it is advisable to warm the kidneys. However, TCM emphasizes syndrome differentiation and treatment, so it is important to consult a local traditional Chinese medicine hospital. Clinical observation, combined with the four diagnostic methods, is necessary for effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of tension, and appropriate physical exercise play significant roles in the treatment of premature ejaculation. Wishing you a speedy recovery.1. Traction of the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if the scrotum and testicles are pulled toward the perineum, the excitement can be reduced, and ejaculation can be delayed.
2. Reducing sexual sensitivity: Using a condom or applying topical medications to the penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can lower the sensitivity of the sensory nerve endings on the head of the penis.
3. Alternating hot and cold sit baths: Take a 15-minute cold sit bath before bed, followed by a 15-minute warm sit bath, once daily. This can improve the ability to control ejaculation in the posterior urethra.
4. Adopt the supine position with legs straight and about 100 cm apart. Place your hands by your hips, relax naturally, focus your gaze inward, and concentrate on the lower Dantian. Close your mouth and press your tongue to the roof of your mouth. First, focus on the lower Dantian for 2 minutes, then begin to inhale. As you inhale, tighten your abdomen and lift your rectum, causing the penis, testicles, and anus to contract simultaneously while drawing the lower abdomen inward. At this time, imagine the Qi flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward, passing through the Du Zhong to