How to treat frequent nocturnal emissions, penis and testicle shrinkage

Patient's question:

Frequent nocturnal emissions, lasting for two years, with a normal frequency of once a week and the most frequent being three to four days in a row. Compared to two years ago, I feel my testicles have shrunk significantly, and my penis is only 5-6 cm long normally, with the maximum being 12 cm when erect. What could be the problem? How should it be treated? Do I need to go to the hospital? I'm only 20 years old and have no sexual history.
Detailed medical history and consultation purpose: Frequent nocturnal emissions, lasting for two years, with a normal frequency of once a week and the most frequent being three to four days in a row. Compared to two years ago, I feel my testicles have shrunk significantly, and my penis is only 5-6 cm long normally.

Doctor's answer:

Hello: Premature ejaculation refers to a clinical syndrome characterized by frequent involuntary leakage of semen without sexual activity, occurring more than twice a week, accompanied by symptoms such as dizziness, tinnitus, forgetfulness, palpitations, lower back and knee weakness, fatigue, or discomfort during urination, a sense of fullness in the lower abdomen, and swelling in the genital area. Traditional Chinese Medicine (TCM) treatment is relatively effective, but TCM emphasizes individualized diagnosis and treatment. It is best to consult a local TCM hospital for a comprehensive four-diagnosis assessment and targeted medication. Over-the-counter herbal pills such as San Cai Feng Si Wan (Three Talents Seal Essence Pill) and Jin Suo Gu Jing Wan (Golden Lock Consolidate Essence Pill) are also available.

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