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

Patient's question:

Doctor,
  My glans is more sensitive during intercourse than before, it's easy to ejaculate, and the color is a bit red. It's hard to control ejaculation, and 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. If you pull the scrotum and testicles toward the perineum at this time, 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 lower the sensitivity of the sensory nerve endings on the head of the penis.
3. Alternating hot and cold sitz baths: Take a 15-minute cold sitz bath before bed, followed by a 15-minute warm sitz bath. Do this once daily to improve the ability to control ejaculation from 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 lift your rectum, causing the penis, testicles, and anus to contract while the lower abdomen draws 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 Du Zhong (GV4), and finally to the Baihui (GV20). Exhale while guiding the air with your mind, along with the saliva in your mouth, down to the lower Dantian. Additionally, each time you inhale, 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: Each time you urinate, take a deep breath and draw it into the Dantian, then hold your breath. Imagine this air flowing from the Dantian to the perineum, along the Du Mai (governing vessel) upward to Baihui (GV20). Hold this position at Baihui, visualizing a green "water" character there, and then proceed to urinate. After finishing urination, exhale the air slowly.

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