Patient's question:
Hello:I am 26 years old. With help, my penis can get erect, but it becomes soft after a while. I suffer from premature ejaculation, and I want to ejaculate as soon as I insert. Sometimes I experience lower back pain, weakness in the legs, dizziness, tinnitus, hair loss, cold intolerance, often sweaty palms, occasional lower abdominal pain, and memory decline. I have a history of masturbation for 10 years, and I used to masturbate excessively during my youth.
Desperate for help, thank you!
Doctor's answer:
Hello: Your condition and your long-term excessive masturbation have shown good effects!A. Oral Medication: To reduce excitement, small doses of anti-anxiety or sedative drugs can be administered. You may choose one of the following:
Trisodium Amytal 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 + Chloral Hydrate 20 milligrams, once nightly.
Methydopa 25 milligrams, taken one hour before intercourse to inhibit ejaculation.
B. Topical Medication: 0.5–1 hour before intercourse, wash the glans penis and apply a small amount of anesthetic cream, such as 1% Dyclonine Ointment, or 1% Lidocaine or 2% Cocaine. Note that only a small amount of the medication should be applied to the tip of the glans, as excessive application may reduce the ejaculation reflex, even leading to anejaculation. Additionally, it may affect erectile function, causing the erection to be less firm.