Patient's question:
Since 2008, my sexual performance has not lasted more than two minutes.Doctor's answer:
Hello! Based on your description, according to the definition of premature ejaculation, it is highly likely to be primary premature ejaculation. As a male sexual dysfunction, its unified definition consists of the following parts:1. Primary premature ejaculation: Repeatedly achieving ejaculation within about 1 minute after vaginal penetration for the first time, or persistent ejaculation.
2. Secondary premature ejaculation: Ejaculation latency time decreases to 3 minutes or less after vaginal penetration for the first time.
3. Delayed ejaculation occurs in all or almost all vaginal insertions.
4. Negative personal impacts, such as anxiety, distress, confusion, and/or avoidance of sexual intimacy.
If this has been the case since your first sexual experience, my advice is:
1. Many young people lack sexual experience and technique when they first start having sex, which often leads to issues like erectile dysfunction and premature ejaculation. Therefore, it is recommended that you do not become overly tense or excited during sexual activity, focus more on sexual technique and foreplay, pause during strong sexual stimulation, and pay attention to the rhythm.
2. If you lack confidence during sexual activity, many people with premature ejaculation have difficulty controlling ejaculation, so it is recommended that you try medication, such as Viagra, Priligy, or Cialis, which have significant effects with fewer side effects.
3. Surgical treatment is not recommended.