Patient's question:
Detailed medical condition and consultation purpose: I have a small penis and premature ejaculation. Is there any good way to solve this? Please ask? My erection does not exceed 10 centimeters. Is there any good medication for premature ejaculation? Thank youDoctor's answer:
Hello: Treatment of Premature EjaculationThe treatment of premature ejaculation is a matter for both partners, and it is particularly important for the wife to be involved in the treatment. There are many causes of premature ejaculation, and appropriate strategies should be adopted based on different etiologies. First, it is essential to popularize sexual knowledge, comprehensively understand the sexual history of different couples, and provide guiding suggestions based on the patient's specific situation to overcome psychological anxiety. The time for pre-coital comfort is indispensable; the man should appropriately distract himself and not become overly tense. Both partners should work well together and adopt various behavioral therapies to prolong the time to ejaculation. At the same time, medication should be combined to ensure that both partners have sufficient time to reach sexual excitement and pleasure during intercourse.
(1) Stop-Start Technique
Premature ejaculation is fundamentally a condition where the threshold for the ejaculation reflex is too low. The treatment aims to increase the ejaculation threshold and enhance the man's tolerance to sexual stimulation. The wife provides limited stimulation until the man achieves full erection. Then, the husband lies down, and the wife sits beside him or between his legs to facilitate easy stimulation of the penis. Once the husband feels the urge for orgasm, the stimulation is immediately stopped. After the urge for orgasm completely disappears, the massage is resumed. This process is repeated three or more times, which can raise the ejaculation threshold. Through long-term training, the penis can adapt to the movements within the vagina, thereby increasing the ejaculation threshold.
(2) Penile Head Clamping Therapy
For some patients with severe premature ejaculation, even after various treatments, the penis may regain some erection, but the patient still carries psychological burdens and lacks confidence.