Patient's question:
Patient Gender:Male
Detailed Condition and Purpose of Consultation: How is premature ejaculation treated?
Doctor's answer:
Hello, the treatment of premature ejaculation is a matter for both partners, and it is particularly important for the wife to be involved in the treatment. There are many causes of premature ejaculation, and appropriate strategies should be adopted based on different etiologies. First, sexual knowledge should be popularized. A comprehensive understanding of the sexual history of different couples is necessary, combined with the specific condition of the patient to provide guiding suggestions and overcome psychological anxiety. The time for pre-coital comfort is essential; the man should appropriately distract himself, not be overly tense, and both partners should coordinate well, using various behavioral therapies to prolong the time to ejaculation. At the same time, medication should be combined to ensure that both partners have sufficient time to reach sexual excitement and pleasure during intercourse.(1) Stop-Start Technique
Premature ejaculation is fundamentally a condition where the threshold for the ejaculation reflex is too low. The treatment aims to raise the ejaculation threshold and increase the man's tolerance to sexual stimulation. The wife should provide limited castration, allowing the man's penis to reach an erect state. Then, the husband should lie down, and the wife sits beside him or between his legs to facilitate easy stimulation of the penis. Once the husband feels the premonition of sexual climax, the stimulation should be immediately stopped. After the premonition of ejaculation completely disappears, the massage should be resumed. This process should be repeated three or more times to raise the ejaculation threshold. Through long-term training, the penis can adapt to the thrusting movements within the vagina, thereby increasing the ejaculation threshold.
(2) Penile Head Clamping Therapy
For some patients with severe premature ejaculation, even after various treatments, their erection has improved, but they still carry psychological burdens and lack confidence. In such cases, the penile head clamping method can be used...