What should I do if I have severe diarrhea?

Patient's question:

Detailed medical condition and consultation purpose: My girlfriend and I have had sexual activity for over three years, but the quality of our sex life has been getting worse. This is because I get easily excited and have premature ejaculation (within one minute). I don't know what medicine to take or how to improve it.

Doctor's answer:

Hello: Traditional Chinese and Western Medicine Methods for Treating Premature Ejaculation
The treatment of premature ejaculation focuses on prevention. First, it is essential 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. 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 partners can also extend sexual intercourse time, ensuring both parties achieve sexual satisfaction. Avoid excessive excitement during intercourse. When nearing ejaculation, stop the in-and-out motion of the penis in the vagina and divert attention away from the sexual organs to non-sexual areas. Those who experience premature ejaculation due to excessive masturbation or long-term self-stimulation 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 Medicine Treatment:
　　A. Oral Medications: To reduce excitability, low-dose anti-anxiety or sedative medications can be administered. Choose one of the following:
　　Trinitrin 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 plus Librium 20 milligrams, once nightly.
　　Take 25 milligrams of thioridazine one hour before intercourse to inhibit ejaculation.
　　B. Topical Medications: Wash the glans penis 0.5–1 hour before intercourse and apply a small amount of anesthetic cream, such as 1% diclofenac ointment, or 1% procaine or 2% cocaine. Note that medication