Patient's question:
I am 22 years old this year and have had premature ejaculation all along. Last year, I had a circumcision, but it is still premature ejaculation now. The duration is about one minute.Doctor's answer:
Impotence, premature ejaculation, and other sexual dysfunctions often cause patients mental distress, even leading to family discord, directly impacting physical and mental health as well as work. Currently, there are differing views on the causes of this condition, which are relatively complex. Modern medicine generally believes it is related to endocrine disorders. For example, conditions such as excessive adrenal cortex hormones, declining male reproductive function, insufficient gonadotropin levels, and neurasthenia can lead to impotence. It is also closely related to psychological factors.In traditional Chinese medicine theory, this condition is often associated with the Kidney, Liver, and Yangming meridians, with the Kidney meridian being the primary focus. Kidney Yin or Yang deficiency is the main cause of the condition. The Kidney stores primal Yin and primal Yang, and both aspects should be preserved and not exhausted. Preservation maintains physiological balance, while exhaustion leads to various pathological changes. Kidney dysfunction primarily manifests as Kidney Yang deficiency, Kidney essence deficiency, or Kidney Qi deficiency. The occurrence of male impotence is often due to excessive indulgence in sexual activity or early masturbation, leading to declining "Mingmen" fire and cold deficiency in essence; or excessive worry and depression, damaging the Heart and Spleen; or fear damaging the Kidneys. It can also be caused by damp-heat accumulation leading to relaxation of the sinews and impotence. However, the main cause is Kidney Yang deficiency. Kidney Yang is the root of the body's Yang energy, responsible for warming the body, transforming fluids, and promoting reproduction and development. When Kidney Yang is deficient, its warming function is impaired, and Qi transformation is disrupted. This results in symptoms such as aversion to cold, limb coldness, and sexual dysfunction. Consequently, men may experience impotence, lack of erection or firmness, accompanied by dizziness, blurred vision, sore waist and legs, palpitations, insomnia, pale complexion, and fatigue.
It is recommended that you take Jianyang Pian, a specialized treatment for impotence and premature ejaculation caused by masturbation. Generally, two courses of medication are sufficient for recovery. Surgical treatment is not advised.