What is the reason for difficulty in controlling ejaculation during coitus in the glans penis?

Patient's question:

Doctor,
  My glans penis has become more sensitive during intercourse compared to before, making it easier to ejaculate. The color is also a bit red, and it's hard to control ejaculation. There are no other symptoms. What could be the reason?

Doctor's answer:

Hello, here are some methods to delay ejaculation:
1. Pulling the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if you pull the scrotum and testicles toward the perineum, you can reduce excitement and delay ejaculation.
2. Reducing sexual sensitivity: Use a condom, or apply medication to the head of the penis before sexual intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, to reduce 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. Adopt a supine position with legs straight and feet about 100 cm apart. Place your hands by your hips, relax naturally, look inward, focus 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 start inhaling. As you inhale, tighten your abdomen and rectum, causing the penis, testicles, and anus to contract while the lower abdomen is drawn in. At this time, imagine the air flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward, to the Dazhui, and finally to the Baihui. Exhale while guiding the air with your mind, along with the saliva in your mouth, down to the lower Dantian. Additionally, during each inhalation, tense your fingers and toes. After the air reaches the lower Dantian, relax your hands and feet and repeat 3–9 times.
Methods for Men to Delay Ejaculation Time: Every time you urinate, take a deep breath and draw it into the Dantian, then close your breath. Imagine this air flowing from the Dantian to the perineum, along the Du meridian to the Baihui. Hold the Baihui point, then visualize a green "water" character in this point. Only then proceed to urinate. After finishing urination, exhale the air with a sigh.

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