Patient's question:
I and my wife have difficulty with premature ejaculation during sex, especially when my wife is highly excited, almost losing control. Is this considered premature ejaculation? Additionally, I sometimes feel pain in my right testicle, which also causes pain in the right lower abdomen. What could be the reason for this?Doctor's answer:
Hello: You can improve it through the following methods.Change sexual positions. For example, if you adopt the woman-on-top position, the woman can perform vigorous friction with her sexual organs while the man is in a passive position, leading to muscle relaxation and reduced excitement, allowing both partners to reach climax simultaneously. Alternatively, you can try the side position, which avoids intense hip movement and reduces blood diversion from the pelvis to the lower limbs due to pelvic congestion syndrome. Because it requires less effort and has smaller movements, the man's excitement develops more slowly, helping to delay ejaculation.
Choose the right time for sexual activity. For instance, having sex in the morning after waking up can provide energy; sleeping first before sex can avoid tension. After a single ejaculation, having sex again that night will definitely extend the duration. Alternatively, masturbating first and then having sex after the refractory period has passed can also achieve the goal of prolonging sexual activity and controlling ejaculation.
Cold and hot sitz baths can improve the ability to inhibit ejaculation in the posterior urethra.
If premature ejaculation occurs frequently, it is best to abstain from sexual activity for a period, avoid sexual stimulation, establish a regular lifestyle, ensure adequate sleep, and appropriately increase nutrition to enhance physical fitness. At the same time, you should also quit smoking, drinking, and other substances.
Wear a condom during sexual activity. This can reduce the sensitivity of the glans during the man's sexual excitement, thereby prolonging the duration of intercourse.