Patient's question:
Before having sex with my girlfriend, I become overly excited. As soon as I see her, I get erect, but talking to her makes it go down. By the time we start kissing and having sex, it's already been 5–10 minutes. When I get erect again, the sex lasts only 3–5 minutes. Why is the duration so short? Is it due to being overly excited or some other reason? Because of work, I spend a lot of time sitting in front of the computer and don't exercise much—is this related? This has happened three times already, with each incident occurring more than a week apart.Doctor'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, fire-reducing methods are added, while for those with Yang deficiency, warming the kidneys is incorporated. However, TCM emphasizes syndrome differentiation and treatment, so it is recommended 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, abstaining from masturbation, and appropriate physical exercise play important roles in the treatment of premature ejaculation. Wishing you a speedy recovery.1. Pulling 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, excitement can be reduced, and ejaculation can be delayed.
2. Reducing sexual sensitivity: Using a condom or applying external 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 penis.
3. Alternating hot and cold sit baths: Take a 15-minute sit bath in cold water before bed, followed by a 15-minute sit bath in warm water. Do this once daily to improve the ability to control ejaculation in the posterior urethra.
Adopt the supine position with legs straight and feet 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 inhaling. During inhalation, contract your abdomen and anal sphincter, causing the penis, testicles, and anus to tighten simultaneously while the lower abdomen contracts. At this moment, visualize the qi flowing from the glans