Patient's question:
For primary premature ejaculation, medication is recommended, such as Virility Max and Sertraline, but all doctors cannot provide an accurate cure time, or rather, a complete cure with medication. Surgical risks are high, and the effectiveness is uncertain!Doctor's answer:
For primary premature ejaculation, there are many influencing factors, such as psychology, environment, partner's mood, excessive sensitivity of the glans, prostatitis, and self-control ability, all of which can affect it. Personal willingness is also a factor that influences the evaluation of treatment effectiveness and standards, so it's difficult to say when it's cured. Currently, medication remains the primary treatment method. Virility is the only potent SSRI approved domestically for the treatment of premature ejaculation, with clear multi-center application results. It's worth trying. At the same time, sexual activity should be conducted in a quiet and suitable environment, use a condom to reduce glans sensitivity, or apply the stop-start technique during intercourse—stopping thrusting or withdrawing the penis when ejaculation is imminent to reduce stimulation, then resuming stimulation once the urge subsides. Repeat this process multiple times to gradually increase the ejaculation threshold. Alternatively, masturbation before intercourse can reduce glans sensitivity, extending the refractory period and ejaculation latency, which may be effective for premature ejaculation. Approach it with a calm mindset, let nature take its course, cultivate good lifestyle habits, exercise more, avoid spicy foods, alcohol, and prolonged sitting, all of which are beneficial for treatment. At least regarding surgery, China's guidelines have clearly stated that the risks far outweigh the benefits, so it's advised to use caution and generally not recommend surgery.