Is there a good treatment for premature ejaculation?

Patient's question:

Erection is normal, but the duration is very short, about 5 minutes. It used to be normal.

Doctor's answer:

Conventional Treatment Methods
The treatment of premature ejaculation should first prioritize abstinence, followed by the use of tonifying and replenishing Yang herbs to restore balance between water and fire in the kidneys. When the kidney water is sufficient and the virtual fire does not act recklessly, the jingguan (sperm gate) naturally becomes firm. In selecting medications, it is essential to choose scientifically sound and rational options, avoiding hasty and indiscriminate use driven by impatience. Premature ejaculation is often an accumulated condition, and it is crucial not to resort to excessive tonification with supplements or use of unknown aphrodisiacs out of desperation. Instead, gradual regulation should be adopted.
Massage Method
One method to enhance male sexual function is to develop the habit of massaging the scrotum directly with the hands. Regular massage improves blood circulation in the testicles. By continuously supplying fresh blood to the testicles, their function is naturally strengthened, and male vitality is elevated. Massage can be performed once a day for 2-3 minutes. Use your fingers to gently rub the testicles from the upper part of the scrotum. If the duration is too long or the stimulation is too intense, it may impair testicular function. Please remember, "excess is as bad as deficiency" can have the opposite effect. Daily massage is highly recommended, as forming a daily habit yields better results than occasional efforts.
Psychological Treatment for Premature Ejaculation
Currently, psychological treatment, particularly behavioral therapy, is practiced both domestically and internationally, with relatively certain efficacy. Through general psychological therapy, patients can be educated about sexual knowledge, helping them alleviate concerns, reduce anxiety and tension, and eliminate fear and anxiety before sexual intercourse by teaching them muscle relaxation techniques. Behavioral therapy, particularly the methods developed by Masters and Johnson, is widely used abroad. Soviet sex psychologist Koradov developed a home-based green therapy based on his treatment principles, requiring patients to complete seven sets of exercises: mutual touching of sensitive areas, establishing excitement in female genitalia, stimulating the penis, prolonging penile excitement duration, experiencing sensations during genital contact, experiencing clitoral stimulation after penile insertion into the vagina, and experiencing sexual arousal.
The treatment of premature ejaculation is a joint effort for both partners, with the participation of the wife being particularly important. Psychological treatment for premature ejaculation requires the cooperation of the patient's wife. Misunderstanding or blaming from the wife can increase the man's tension and anxiety, exacerbating his psychological burden. The wife should adopt a compassionate and caring attitude, providing verbal and behavioral comfort to alleviate her husband's tension and help him build confidence in recovery.