Patient's question:
I am separated from my wife, and we meet every two weeks for two days. On each night we spend together, we have 3-4 encounters. Last month, after the first encounter, the second erection was very slow. For the first few times, I had to manually harden it before proceeding. However, recently, even after hardening it, it quickly went soft. But the next night, it still erected. During this period, I took several aphrodisiacs. I am very troubled and don’t know what to do. The pressure is immense. Moreover, since we started having sex, the first time was very short, but the second or third time was normal.Doctor's answer:
There are many reasons for premature ejaculation. Many people lack understanding of erectile dysfunction and premature ejaculation, and once they suffer from it, they blindly take aphrodisiacs. Aphrodisiacs cannot treat erectile dysfunction or premature ejaculation. Moreover, most aphrodisiacs contain hormones and chemical ingredients, with significant side effects and a tendency to worsen the condition. A large portion of premature ejaculation is psychological or psychogenic. Therefore, it is necessary to analyze the patient's psychological state and adopt certain methods, such as suggestion, distraction, or aversion therapy, to correct some misconceptions about sex and alleviate the patient's anxiety, thereby achieving preliminary treatment effects. However, these methods can only provide some relief for erectile dysfunction and premature ejaculation but cannot cure them. Treatment should target the root cause and be symptomatic, excluding factors such as environment, sexual experience, and the level of mutual cooperation. The best approach is to use traditional Chinese medicine for treatment.