Patient's question:
Patient Gender: MaleDetailed Condition and Purpose of Consultation: Diarrhea
Duration of Current Illness and Persistence:
Current General Condition:
Medical History: Three months
Previous Diagnoses and Treatment History and Effects: /
Auxiliary Examinations:
Others:
Doctor's answer:
Treatment of Premature Ejaculation1) 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. Psychological therapy for premature ejaculation requires the cooperation of the patient's wife.
2) Condoms or double-layered condoms can be used to reduce penile sensitivity.
3) The stop-start technique: Premature ejaculation is fundamentally a condition where the threshold for the ejaculation reflex is too low. The treatment aims to increase the ejaculation threshold and enhance a man's tolerance to sexual stimulation. Men can learn to control the timing through masturbation. The wife can also help by stroking the penis to achieve full erection, then having the husband lie down while she sits beside him or between his legs to facilitate easy stimulation. Once the husband feels the premonition of orgasm, stop immediately. Wait until the premonition of ejaculation completely disappears before resuming stimulation. Repeat this process three or more times to raise the ejaculation threshold. Through long-term training, the penis can adapt to the motion within the vagina, thereby increasing the ejaculation threshold.
4) Penile head squeeze therapy: For some patients with severe premature ejaculation who have experienced some recovery of penile erection after various treatments but still suffer from psychological burdens and lack of confidence, the penile head squeeze method can be used. The wife places her thumb at the frenulum of the penis, and her index and middle fingers on either side of the corona. Squeeze and press the head of the penis for 3–4 seconds, then suddenly release the pressure, applying the force from front to back without pressing towards the sides.
5) Tranquilizers: Librium 20 mg orally 30 minutes before intercourse, and Oryzanol 10 mg orally three times daily.
6) Over-the-counter Chinese herbal medicines: Six-Flavor Rehmannia Pill, Five Seeds Origin Pill, or Zhi Bai Di Huang Wan, choosing one as appropriate.