Patient's question:
Having sex with your girlfriend twice, both times were soft and unable to enter. You usually have a habit of masturbation, and you can get an erection normally during masturbation. You've noticed that you haven't had morning erections recently.Doctor's answer:
The treatment of premature ejaculation is a matter for both partners, and the involvement of the wife in the treatment is particularly important. Psychological treatment for premature ejaculation requires the cooperation of the patient's wife, as misunderstandings or complaints from the wife can increase the man's tension and anxiety, exacerbating his psychological burden. The wife should adopt a tolerant and caring attitude, providing verbal and behavioral comfort to alleviate the man's tension and help him build confidence in recovery.Traditional Chinese Medicine (TCM) Treatment: From a traditional TCM perspective, the main cause of premature ejaculation is the deficiency of both the liver and kidneys. Kidney deficiency leads to inadequate nourishment of the liver, resulting in damage to the liver meridian system. Since the liver meridian encircles the lower urinary tract and rectum, when liver qi is stagnant, it generates cold, and when yang qi cannot effectively restrain the body, premature ejaculation occurs. The treatment primarily focuses on dispelling cold and tonifying the kidneys. Tonifying the kidneys can resolve stagnation in the liver meridian while simultaneously nourishing the liver. The main herbal formulas used include Sini Tang (Four-Cold Decoction), Bai Tong Tang (White Decoction), and Fu Zi Li Zhong Tang (Aconite Li Zhong Decoction). During treatment, the principle of syndrome differentiation should be followed, and appropriate medications should be used promptly if other symptoms arise.