Patient's question:
I am 28 years old this year and have a history of masturbation for over 10 years. In the past, when I was with my girlfriend, my penis became very sensitive during foreplay, so I would ejaculate before entering. I have never had actual sexual intercourse.Doctor's answer:
For the treatment of erectile dysfunction, PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil are the first-line medications. For premature ejaculation, selective serotonin reuptake inhibitors can be used. Oral levodopa and ephedrine can promote ejaculation. Tricyclic antidepressants are the first-line drugs for treating sexual phobia and depression. Estrogen replacement therapy can increase clitoral sensitivity and sexual desire, and reduce sexual pain. For individuals with anxiety or depression and other psychological disorders, appropriate medication should be administered.