Patient's question:
Does a small penis cause premature ejaculation? Can it still be treated? Is there any special treatment?Doctor's answer:
Hello, the treatment of premature ejaculation is primarily about prevention. First and foremost, 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 a couple occasionally experiences premature ejaculation, they 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 established pathological conditioned reflexes and allow sexual function to be adjusted and the reflex for ejaculation to be rebuilt. Close cooperation between both partners can also extend the duration of intercourse, ensuring both parties achieve sexual satisfaction. During intercourse, it is advisable to avoid excessive excitement. When nearing ejaculation, stop thrusting the penis in and out of the vagina and divert attention away from the sexual organs to non-sexual areas. Those who experience premature ejaculation due to excessive indulgence or prolonged masturbation can gradually reduce the condition by practicing moderate abstinence and abstaining from masturbation. Individuals with premature ejaculation caused by organic lesions should undergo treatment targeting the underlying cause.（1）Western Medication Treatment:
A. Oral Medications: To reduce excitability, low-dose anti-anxiety or sedative medications can be administered. Choose one of the following:
- Brompheniramine tablets 0.1–0.3 grams, taken three times daily.
- Phenobarbital 0.03 grams, taken three times daily.
- Oryzanol 10 milligrams, taken three times daily.
- Probenecid 30 milligrams + Librium 20 milligrams, taken once nightly.
- Take Methylphenidate 25 milligrams one hour before intercourse to inhibit ejaculation.
B. Topical Medications: Wash the glans penis 0.5–1 hour before intercourse, then apply a small amount of anesthetic ointment, such as 1% Dyclonine ointment, or 1% procaine or 2% cocaine. Note that only a small amount should be applied to the tip of the glans; excessive application should be avoided, otherwise...