Patient's question:
Detailed medical condition and consultation purpose: Hope to have a normal sex lifeDoctor: I hope you can help me. Due to negative influences, I developed the habit of masturbation around the age of 18. I'm very worried about not being able to have children in the future. I often masturbate, sometimes with ejaculation, and it can be a lot. Sometimes I ejaculate in my underwear but hold it back, thinking it's not much. Is there any harm in doing this? How can I treat premature ejaculation? I can't even last for a minute when having sex with my girlfriend and it's very frustrating. I really don't want to masturbate, but sometimes I can't control myself. There's another question—what if I'm very
Doctor's answer:
For premature ejaculation, it refers to ejaculation occurring before the penis enters the vagina or shortly after, when the woman has not yet reached sexual climax, leading to sexual dissatisfaction. The diagnostic criteria for premature ejaculation primarily depend on whether the female is satisfied. The causes can be divided into organic (mainly caused by diseases such as prostatitis) and non-organic (psychological, habitual, or rapid ejaculation due to normal reasons like excessive foreskin). The main causes of premature ejaculation can be broadly categorized into psychological and physiological aspects. From a treatment perspective, addressing premature ejaculation solely through psychological or physiological methods is still challenging. Main treatment approaches include psychological therapy, behavioral therapy, and physical therapy. It is recommended to seek professional medical guidance and tailor the treatment based on specific circumstances.