Is it premature ejaculation if you ejaculate after inserting a few times?

Patient's question:

During sexual activity, after insertion, ejaculation occurs within a few moments. After ejaculation, it is still possible to continue for a short while, but the duration is not long. Is this considered premature ejaculation? Are there any methods to treat it? What medications or foods can help with this?

Doctor's answer:

Hello
Premature ejaculation refers to the emission of semen shortly after sexual intercourse, sometimes even before it begins. In some cases, it may occur before the penis touches the female genitalia, or shortly after contact with the external genitalia or vaginal opening, or within a few minutes (usually less than 2 minutes) of entering the vagina. After ejaculation, the penis becomes flaccid and unable to maintain normal sexual activity. This is a condition characterized by these symptoms.
The relationship between premature ejaculation and impotence is as follows: premature ejaculation can be considered an early stage of impotence, and severe premature ejaculation may lead to impotence. Additionally, impotence is often accompanied by premature ejaculation. The etiology of both conditions has similarities, and their clinical manifestations share similar symptoms.
Premature ejaculation can manifest symptoms of early-stage impotence, such as inability to achieve erection during sexual intercourse, weak erection, inability to complete sexual activity normally, and both partners failing to reach sexual satisfaction, leading to ejaculation and subsequent flaccidity. It is often accompanied by prolonged symptoms such as lack of energy, fatigue, restlessness during sleep, thin and cold semen, palpitations, and unease. Premature ejaculation is often a signal of impotence. If it occurs occasionally, 1-2 times, it may not require treatment, as adjusting one's mood or addressing the symptoms can correct it. However, frequent premature ejaculation should be actively treated to prevent the development of impotence.
The treatment of premature ejaculation is relatively easier compared to impotence. Appropriate physical exercise, recreational activities, temporary separation of the couple, and the habit of masturbation can significantly help in treating premature ejaculation. Actively treating premature ejaculation is an important aspect of preventing impotence. Therefore, the two conditions are closely related.
II. Traditional Chinese Medicine Diagnosis and Treatment
Traditional Chinese medical literature often discusses impotence, premature ejaculation, and nocturnal emissions together. These conditions share

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