Patient's question:
Previously, every sexual encounter lasted a long time. Now it seems that my sexual function has also declined, and my desire for sex is not as strong as before. Additionally, the duration of sexual intercourse is particularly short. I don't know how to improve this aspect of my ability.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, fire-reducing methods are added, while for those with Yang deficiency, kidney Yang-warming methods are employed. However, TCM emphasizes syndrome differentiation and treatment, so it is advisable to consult a local TCM hospital for clinical assessment, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to achieve effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of tension, and appropriate physical exercise play important roles in the treatment of premature ejaculation. Wishing you a speedy recovery.1. Traction of the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if the scrotum and testicles are pulled toward the perineum, excitement can be reduced, and ejaculation can be delayed.
2. Reducing sexual sensitivity: Using a condom or applying topical medications to the penis head before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can lower the sensitivity of sensory nerve endings in the penis head.
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 in the posterior urethra.
4. Adopt the supine position with legs straight, about 100 cm apart. Place your hands by your hips, naturally relaxed. Focus your gaze inward, meditating on the lower Dantian, close your mouth, and press your tongue to the roof of your mouth. First, meditate on the lower Dantian for 2 minutes, then begin inhaling. As you inhale, contract your abdomen and anal sphincter, causing the penis, testicles, and anus to tighten simultaneously, while drawing the lower abdomen inward. At this time, visualize the Qi flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward, passing through the Du Zhong (GV4) to