Is it considered premature ejaculation if you orgasm within one or two minutes of having sex?

Patient's question:

Hello, I am 22 years old this year, married for half a year, and I have sex with my wife two or three times a week. However, I am always with her at night, and my penis is always hard. When I insert it into her vagina, it feels very hot and stimulating. I orgasm within one or two minutes, and then after resting for a while, my penis becomes hard again. I can then have sex for a long time. Why is this? Is it premature ejaculation? How can I last a long time from the first insertion? Thank you.

Doctor's answer:

Consider premature ejaculation to refer to ejaculation in sexual life when the penis has not been inserted into the vagina or has been inserted and thrust less than 15 times after insertion, or ejaculation occurs within 3-5 minutes after insertion. Premature ejaculation is mainly caused by excessive indulgence, overexertion, and other reasons leading to kidney deficiency. Kidney deficiency is commonly manifested as yin deficiency of the kidneys, yang deficiency of the kidneys, and insufficient kidney essence. You can consult a traditional Chinese medicine department for syndrome differentiation and treatment. For yin deficiency of the kidneys, Liuwei Dihuang Wan or Zhibai Dihuang Wan can be taken for treatment; for yang deficiency of the kidneys, Wuzi Yanzong Wan or Jinkui Shenqi Wan can be taken; for insufficient kidney essence, Jinluo Gujing Wan can be taken. In daily life, masturbation or sexual life should be restrained; attention should be paid to diet and nutrition; active participation in physical exercise should be encouraged to enhance immunity.

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