What medications are available for erectile dysfunction and premature ejaculation?

Patient's question:

I have experienced impotence and premature ejaculation due to excessive masturbation and irregular lifestyle. Is there any good method to cure it? Are there any medications?

Doctor's answer:

Premature ejaculation refers to the condition where ejaculation occurs at the beginning of sexual intercourse, or even before intercourse begins. This condition can be effectively treated with Traditional Chinese Medicine (TCM), yielding relatively ideal results. The differentiation of premature ejaculation in TCM includes Yin deficiency with excess fire and Yin-Yang deficiency, with treatment primarily focusing on nourishing Yin, tonifying the kidneys, and replenishing essence. For those with excess fire, it is recommended to reduce the fire, while for those with Yang deficiency, it is advisable to warm the kidneys. However, TCM emphasizes syndrome differentiation and treatment, so it is important to consult a local traditional Chinese medicine hospital. Clinical observation, combined with the four diagnostic methods, is necessary for effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of tension, abstaining from masturbation, and appropriate physical exercise play significant roles in the treatment of premature ejaculation. Wishing you a speedy recovery.
1. Traction of the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if the scrotum and testicles are pulled toward the perineum, it can reduce excitement and delay ejaculation.
2. Reducing sexual sensitivity: Using a condom or applying topical medications to the penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can lower the sensitivity of the sensory nerve endings on the head of the penis.
3. Alternating hot and cold sit baths: Take a 15-minute sit bath in cold water before bed, followed by a 15-minute sit bath in warm water. Do this once daily to improve control over ejaculation in the posterior urethra.
4. Adopt the supine position with legs straight and about 100 cm apart. Place your hands by your hips, relax naturally, focus your gaze inward, and concentrate 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 begin inhaling. As you inhale, tighten your abdomen and lift your rectum, causing the penis, testicles, and anus to contract simultaneously while drawing the lower abdomen in. At this time, visualize the energy flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine.

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