Patient's question:
What should I do if I quickly lose my erection during sex?Doctor's answer:
Hello: The treatment of premature ejaculation (PE) focuses on prevention. First, it is essential to enhance sexual education and understand the physiological differences between female and male sexual climax, which often occurs later in women. If a couple occasionally experiences PE, they should not blame the male partner. For more significant cases of PE, the couple may temporarily separate for a period. 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 sexual intercourse duration, ensuring mutual sexual satisfaction. During intercourse, avoid excessive excitement. When nearing ejaculation, stop thrusting the penis in and out of the vagina and divert attention from the sexual organs to non-sexual areas. Individuals with PE caused by excessive masturbation or long-term self-stimulation can gradually reduce PE by practicing moderate abstinence and abstaining from masturbation. Those with PE 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, three times daily.
- Phenobarbital: 0.03 grams, three times daily.
- Oryzanol: 10 milligrams, three times daily.
- Probenecid: 30 milligrams, combined with Librium (chlordiazepoxide): 20 milligrams, taken once nightly.
- Take Methydopa: 25 milligrams one hour before intercourse to inhibit ejaculation.
B. Topical Medications: 30–60 minutes before intercourse, clean the glans penis and 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—avoid excessive application, otherwise