Patient's question:
Male, 18 years old, has been masturbating for two years, and the frequency of urination has increased. Later, he got a girlfriend and started having sex with her. In the first week, he did it every day, and the quality was still decent... But when he moved to work in another place and was isolated for a month, he started experiencing premature ejaculation, where he would finish after only a few thrusts... Additionally, he has phimosis. Due to the issue of frequent urination, he visited a doctor, had a urinalysis, which was normal, and also had a urine culture, which was also normal... The doctor concluded that his frequent urination was a psychological problem...Please tell me what is related to my premature ejaculation? How can it be cured? Should I have circumcision? First question.
Doctor's answer:
Hello, regarding your frequent urination, it is recommended to have a prostate examination at the surgical department. Methods for male delayed premature ejaculation1. 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 towards 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 going to bed each night, followed by a 15-minute warm sit bath. Do this once a day to improve the ability to control ejaculation from the posterior urethra.
Adopt the supine position with both legs straight and feet about 100 cm apart. Place your hands next to 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. During inhalation, tighten your abdomen and lift your rectum, causing the penis, testicles, and anus to contract simultaneously while the lower abdomen is drawn in. At this time, imagine the air flowing from the glans penis through the penis to the perineum, from the perineum through the coccyx along the spine upward, through the Dazhui to the Baihui. Then exhale, and at the same time, guide the air with your mind through your mouth, 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. Repeat 3-9 times.
Methods for male prolonged ejaculation time
Each time you urinate, take a deep breath and draw it into the Dantian, then close your breath, and imagine this air from the Dantian