Patient's question:
Duration of onset and persistence of this illness: Half a yearDoctor's answer:
Hello, there are medications for premature ejaculation, but in my opinion, this condition should be divided into two major categories. One category is purely physiological or pathological, and the other is psychological. Clinically, the physiological and pathological aspects—functional and pathological—account for about 50%. When it comes to the causes of premature ejaculation, conditions like balanitis, prostatitis, or phimosis fall under the pathological category. For these issues, prompt treatment is necessary. For example, chronic prostatitis can increase a person's threshold for stimulation, meaning even slight stimulation might lead to arousal. This is a theoretical explanation. Because of chronic inflammation from balanitis or phimosis, the sensitivity threshold of the glans increases, and even minor external stimulation can cause arousal. Very fast. Let me give you an example: normal skin feels one way, but if a boil appears on the skin, it feels different. Therefore, when treating premature ejaculation, it's essential to first address any underlying medical conditions. The other category, accounting for the remaining 50%, is psychological issues. For instance, after having frequent sexual encounters, a person might become overly anxious and fearful, worrying that the second time will disappoint their partner. This fear and anxiety can lead to increased tension during sexual activity, which, over time, can also develop into premature ejaculation. When this condition persists for a long time, it forms a reflex pattern, making it very difficult to change. Therefore, in such cases, it's advisable to seek guidance from a doctor and a psychologist.