Patient's question:
Male, 18 years old, has been masturbating for two years, and the frequency of urination has increased. Later, he got a girlfriend and had sex with her. In the first week, he did it every day, and the quality was still okay... But when he moved to a different place for work and was isolated for a month, he started experiencing premature ejaculation, where he would finish after just a few thrusts... Also, he has phimosis. Due to the issue of frequent urination, he visited a doctor, had a urinalysis, which was normal, and also had a urine culture, which was also normal... The doctor concluded that his frequent urination was a psychological problem...Please ask: What is related to my premature ejaculation? How can it be cured? Do I need to get circumcised? First question.
Doctor's answer:
Hello, regarding your frequent urination, it is recommended to have a prostate examination at the surgical department. Methods for men to delay premature ejaculation1. 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 towards the perineum, you can reduce excitement and delay ejaculation.
2. Reducing sexual sensitivity: Use a condom, or apply medication to the head of the penis before sexual intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, to reduce the sensitivity of the sensory nerve endings on the head of the penis.
3. Alternating hot and cold: Take a 15-minute cold sit bath before bed, followed by a 15-minute warm sit bath, once a day, to improve the ability to control ejaculation in the posterior urethra.
Adopt the supine position, extend both legs, and keep the feet about 100 cm apart. Place both hands next to your hips, relax naturally, look inward, focus 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 start inhaling. During inhalation, 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, imagine the air flowing from the glans penis through the penis to the perineum, from the perineum through the coccyx along the spine upward, through the Du Zhong to the Baihui, and then exhale, while guiding the air 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, and when the air reaches the lower Dantian, relax your hands and feet, repeating 3-9 times.
Methods for men to prolong ejaculation time
Each time you urinate, take a deep breath and draw it into the Dantian, then close your breath, and imagine this air from the Dantian