What should I do if I have abnormal sperm and premature ejaculation?

Patient's question:

I recently don't know what's going on, my lower body is very uncomfortable, and I'm not getting morning erections anymore. What should I do if my sperm is abnormal and I have premature ejaculation?

Doctor's answer:

Hello! There are many reasons that can lead to premature ejaculation, such as excessive sexual indulgence or masturbation, inflammation of the reproductive system, phimosis, psychological and environmental factors, and local factors of the penis. If ejaculation occurs within less than 2 minutes after insertion into the vagina during normal sexual activity, it is considered premature ejaculation.
Advice: It is recommended that you first visit a regular hospital's relevant specialty department for examination to clarify the diagnosis and underlying causes, followed by targeted treatment. Other methods to prolong ejaculation time include:
1. Applying a moderate amount of anesthetic cream, such as lidocaine or benzocaine, to the glans penis before sexual activity to reduce sensitivity, or using condoms with anesthetic ingredients to help extend sexual duration;
2. Oral medication treatment, primarily selective serotonin reuptake inhibitors (SSRIs) prescribed by psychiatrists, such as dapoxetine (marketed as Priligy). These medications have specific indications and side effects and should be taken under the guidance of a professional doctor;
3. Penile dorsal nerve blockage surgery to reduce penile sensitivity.
I hope this information is helpful to you!

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