How to treat impotence and premature ejaculation?

Patient's question:

During sexual intercourse, after the penis is inserted into the vagina, it within less than two minutes. I have a habit of masturbation and have very little sexual experience! What should I do? Recently, I've noticed that the penis becomes erect but not firm, and it feels cold. Please advise me, doctors and coaches...

Doctor's answer:

Mainly local anesthetics, which can be applied to the head of the penis before sexual intercourse to delay the latency period of ejaculation through local anesthetic effects. External medications such as 1% lidocaine solution, 1% tetracaine solution, 2% lidocaine gel, and 3% ethyl aminobenzoate. After using local anesthetics, condoms can be used or not. If condoms are not used, clean the residual medication from the penis. It should be noted that excessively prolonged anesthetic duration (30-45 minutes) can lead to the loss of erection, as prolonged anesthetic time can cause numbness in a significant portion of the penis. If the residual medication on the penis is not thoroughly washed before sexual intercourse (without using condoms), the spread of local anesthetic residues can cause numbness in the vaginal wall of the female partner, reducing sexual pleasure. If the patient or sexual partner is allergic to local anesthetics, this treatment method is contraindicated.

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