Patient's question:
Medical Description: Started masturbating at the age of 12. Had early ejaculation during the first sexual encounter (only 10-15 thrusts) and it has continued until now. Have visited big and small hospitals without any effect, spending a lot of unnecessary money. My penis is only 9-10 cm long. I am already 41 years old. Experts, can I still be treated? Is there any special method?Doctor's answer:
Hello, the treatment of premature ejaculation primarily focuses on prevention. First, it is essential to enhance sexual education and understand the physiological differences between female and male sexual climax, which typically occurs later in women. If premature ejaculation occurs occasionally between partners, it is important not to blame the male. For more significant cases of premature ejaculation, the couple may temporarily separate for a period. This can help break established pathological conditioned reflexes and allow sexual function to be adjusted and the reflex for ejaculation to be rebuilt. Close cooperation between both partners can also extend the duration of intercourse, ensuring mutual sexual satisfaction. During intercourse, it is advisable to avoid excessive excitement. If ejaculation is imminent, stop thrusting the penis in and out of the vagina and divert attention away from the sexual organs to non-sexual areas. Individuals who experience premature ejaculation due to excessive indulgence or prolonged masturbation can gradually reduce the occurrence of premature ejaculation by practicing moderate abstinence and abstaining from masturbation. Those with premature ejaculation caused by organic disorders should receive treatment targeting the underlying cause.（1）Western Medication Treatment:
A. Oral Medications: To reduce excitability, low-dose anti-anxiety or sedative medications can be administered. Choose one of the following:
Tr 0.1～0.3 grams, three times daily.
Luminal 0.03 grams, three times daily.
Oryzanol 10 milligrams, three times daily.
Probenecid 30 milligrams + Librium 20 milligrams, once nightly.
Take 25 milligrams of thioridazine one hour before intercourse to inhibit ejaculation.
B. Topical Medications: Wash the glans penis 0.5 to 1 hour before intercourse and apply a small amount of anesthetic cream, such as 1% diclofenac ointment, 1% procaine, or 2% cocaine. Note that only a small amount of medication should be applied to the tip of the glans; excessive application is not recommended, otherwise...