Patient's question:
Detailed medical condition and consultation purpose: Recently, for no apparent reason over the past six months, I have unknowingly developed premature ejaculation. This is because a year ago, I got a girlfriend who refused to have sex, so I often used my hands to satisfy me. I suspect whether this situation led to my current premature ejaculation, or if it's due to kidney deficiency? My previous girlfriend and I have already broken up, and now I'm about to get married to another girl. I want to get treated as soon as possible!Duration and persistence of the condition: 2 months
Current general condition: I ejaculate shortly after entering. It's probably less than two minutes.
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, replenishing the kidneys, and tonifying 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 treating premature ejaculation. Wishing you a speedy recovery.1. Traction of the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles are raised. At this time, if the scrotum and testicles are pulled towards the perineum, the excitement can be reduced, and ejaculation can be delayed.
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 the ability to control ejaculation from 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 to inhale. As you inhale, contract your abdomen and anal sphincter, causing the penis, testicles, and anus to contract simultaneously while drawing the lower abdomen in. At this moment, visualize the energy flowing from the glans penis through the penis to the perineum, and then from the perineum through the coccyx along the spine.