How to alleviate premature ejaculation effectively?

Patient's question:

I have a history of masturbation, and I often experience damp scrotum. I also frequently have nocturnal emissions while sleeping, which are similar in volume to masturbation and feel very intense. Last winter, I met a girlfriend, but during sexual intercourse, I would orgasm almost immediately after entering and experiencing some stimulation. This happened several times afterward, and I've been very distressed. Additionally, I feel extremely weak the day after, and recently I've been experiencing overall fatigue, leg weakness, and lack of energy. Sometimes, when I see pornographic content, I get aroused and release some semen. My attention also cannot be focused.
First follow-up question: It takes less than a minute, and after finishing, my waist and legs feel sore.

Doctor's answer:

Hello, in terms of treatment, targeted examinations must be conducted first to identify the cause of premature ejaculation before symptomatic treatment can be administered. If premature ejaculation is caused by prostate diseases, then targeted treatment for the prostate disease should be given, and premature ejaculation will gradually recover. If it is caused by high sensitivity of the glans, then the penile should be performed to permanently cure premature ejaculation. If it is caused by other issues, symptomatic treatment should be administered. In summary, do not blindly treat premature ejaculation before the cause is clearly identified through examination.

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