Patient's question:
When my husband and I have sex, he can only maintain it for a very short time before he can't continue. Also, I feel that his erection isn't very hard, and sometimes, he can't even penetrate. Is this a problem with his sexual function? Is there a way to cure it?Doctor's answer:
Hello:Consider whether there is premature ejaculation, and the Chinese and Western medical methods for treating premature ejaculation.
For the treatment of premature ejaculation, prevention is key. First, it is important to strengthen sexual education and understand the physiological differences between female and male sexual climax, which typically occurs later in women. If premature ejaculation occurs occasionally, couples should not blame the male partner. For more significant cases of premature ejaculation, the couple may temporarily separate for a period of time. This can help break the established pathological conditioned reflex and allow sexual function to be adjusted and the reflex for ejaculation to be rebuilt. Close cooperation between both partners can also extend sexual intercourse time, allowing both to achieve sexual satisfaction. During intercourse, avoid excessive excitement. When nearing ejaculation, stop the in-and-out motion of the penis in the vagina and divert attention away from the sexual organs to non-sexual areas. Those who have developed premature ejaculation due to excessive sexual indulgence or prolonged masturbation can gradually reduce the condition by practicing moderation and abstaining from masturbation. Individuals with premature ejaculation caused by organic lesions should receive treatment targeting the underlying cause.
（1）Western medicine treatment:
A. Oral medication: To reduce excitability, low-dose anti-anxiety or sedative drugs 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 plus Stilnoct 20 milligrams, once nightly.
Take 25 milligrams of thioridazine one hour before intercourse to inhibit ejaculation.
B. Topical medication: Wash the glans penis 0.5 to 1 hour before intercourse, then apply a small amount of anesthetic cream, such as 1% Dyclonine ointment, or