Patient's question:
My husband is in good health, rarely getting sick except for chronic rhinitis. However, he has never been fully satisfied in sexual matters. Each time he engages in intercourse, he loses his erection after less than twenty thrusts, with the entire act lasting less than two minutes. Now, at over thirty, it seems he has lost interest in sex even more. He has tried taking tonics and dietary changes, but none have worked. Is this considered a sexual dysfunction? How can it be improved?Doctor's answer:
Hello: Based on the condition of your partner, it should be classified as premature ejaculation. Rest and reduce the frequency of sexual activity should be noted.Methods for Men to Delay Premature Ejaculation:
1. Pulling the Scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if you pull the scrotum and testicles toward the perineum, it can reduce excitement and delay ejaculation.
2. Reducing Sexual Sensitivity: Use a condom or apply medication to the head of the penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, to lower the sensitivity of the sensory nerve endings on the head of the penis.
3. Alternating Cold and Hot Sit Baths: Take a 15-minute sit bath in cold water before bed, followed by a 15-minute sit bath in warm water. Do this once daily to improve the ability to control ejaculation in the posterior urethra.
Adopt a supine position with legs straight and feet about 100 cm apart. Place your hands by your hips, relax naturally, focus your gaze inward, and concentrate on the lower Dantian. Close your mouth and press your tongue to the roof of your mouth. First, focus on the lower Dantian for 2 minutes, then begin inhaling. As you inhale, tighten your abdomen and lift your rectum, causing the penis, testicles, and anus to contract simultaneously while the lower abdomen is drawn in. At this time, visualize the energy flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward to the Du Zhong (GV4) and then to the Baihui (GV20). Exhale while guiding the energy with your mind through the mouth, along with the saliva in your mouth, down to the lower Dantian. Additionally, during each inhalation, tense your fingers and toes. After the energy reaches the lower Dantian, relax your hands and feet and repeat 3–9 times.