Patient's question:
[Condition Description: My sexual activity usually does not exceed three minutes. I can achieve normal erection. However, I lose erection about one minute after insertion. If I don't insert for too long, I also lose erection. I have phimosis. Every time I lose erection, I feel it's due to the excessive sensitivity of the glans that I can't control it. Is it really all because of phimosis that causes such a severe situation? I can have sex for over an hour with coffee and salt, but later it didn't work anymore. What could be the reason? What should I do?Duration of the current illness and persistence: All the time during sexual activity
Previous diagnoses and treatment history and effectiveness: No examination has been conducted.]
Doctor's answer:
[Condition Analysis: Hello: Based on your situation, it is likely related to phimosis, and you should consider circumcision. Methods for male premature ejaculation delay:1. Pull the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if you pull the scrotum and testicles toward the perineum, you can reduce excitement and delay ejaculation.
2. Reduce sexual sensitivity: Use a condom, or apply medication to the glans penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, to lower the sensitivity of the sensory nerve endings on the glans penis.
3. Alternate hot and cold sitz baths: Take a 15-minute cold sitz bath before bed, followed by a 15-minute warm sitz bath. Do this once daily to improve the ability to control ejaculation in the posterior urethra.
Adopt a supine position with legs straight and feet about 100 cm apart. Place your hands beside 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 inhaling. As you inhale, tighten your abdomen and rectum, causing the penis, testicles, and anus to contract while the lower abdomen is drawn in. At this time, imagine the air flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward to the Baihui (GV20), and then exhale. Simultaneously, guide the air with your mind through the mouth, along with the saliva in your mouth, down to the lower Dantian. Additionally, during each inhalation, tense your fingers and toes. After the air reaches the lower Dantian, relax your hands and feet and repeat 3-9 times.]