Patient's question:
Started masturbating since the 8th grade at 14 years old. Started university and now rarely masturbate. When I first had a girlfriend and had sexual contact, I discovered I had premature ejaculation. At first, it was only a few minutes, and when I was close, it would be around two minutes. Over time, now after the penis is inserted into the vagina, I can control it for about 10 minutes.Doctor's answer:
Treatment methods to avoid surgery,A. Intermittent sexual intercourse method: During sexual activity, when a man feels the urge to ejaculate, he should immediately stop thrusting the penis and leave it inside the vagina. When a woman is sexually aroused, the vagina expands, but the head of the penis does not touch the vaginal wall, which can reduce stimulation to the glans and lower sexual arousal. Wait until the urge to ejaculate completely disappears before resuming sexual activity. Repeating this intermittent sexual intercourse can prevent premature ejaculation.
B. Physical therapy: Shortwave diathermy to the lumbosacral region, warm baths, and mineral baths can also assist in treatment.
C. Pulling down the scrotum and testicles method: During sexual activity, when a man feels the urge to ejaculate, the scrotum contracts, and the testicles rise. At this point, the woman can gently pull the man's scrotum and testicles downward. This can reduce male sexual arousal and delay ejaculation, achieving the effect of preventing and treating premature ejaculation.
D. Condom sexual intercourse method: Using a condom for sexual intercourse can reduce friction on the penis, thereby lowering the sensitivity of male sexual arousal, extending intercourse time, and avoiding premature ejaculation.
E. Pinching and squeezing method: This is the best non-pharmacological treatment for premature ejaculation. It can increase the ejaculation threshold, alleviate the urgency of ejaculation, enhance sexual arousal, improve the reflex state of ejaculation, and rebuild or restore normal ejaculation timing. The pinching and squeezing method can be performed by both partners, but it is more effective when done by the woman.