Patient's question:
During sexual intercourse, ejaculation occurs immediately after penile erection. Sometimes, without waiting for an erection, ejaculation happens under sexual stimulation.Doctor's answer:
The causes of premature ejaculation are difficult to pinpoint. However, since prostatitis and phimosis (reduced foreskin retraction) are related to premature ejaculation, it is necessary to rule out or treat these conditions. If these issues are not present, other causes are essentially ruled out, and at this point, medication and ejaculation control exercises are required.In terms of medication, the current best option is dapoxetine (brand name: Priligy). Additionally, traditional Chinese medicine can be taken concurrently, generally yielding good results. Dapoxetine is currently the only drug specifically developed for premature ejaculation and has been approved for its treatment in over 60 countries and regions worldwide. It has also been approved by China's National Food and Drug Administration (CFDA) for marketing in China.
The mechanism of action of sertraline is similar to that of dapoxetine, but it is inferior to dapoxetine in terms of side effects and efficacy. Moreover, premature ejaculation is not within its approved treatment indications. Sertraline was used for premature ejaculation before dapoxetine was available, but now that dapoxetine exists, sertraline is no longer used for this purpose.