Patient's question:
Male, 30, I used to have poor sexual performance. The longer the duration, the more my legs would feel tired, and my spirits weren't great either. I felt like I had some kidney deficiency. Recently, I've been experiencing frequent involuntary ejaculation. I also had a blood test for blood lipids and kidney function, which showed: blood urea nitrogen 3.30, creatinine 84.5, total cholesterol 6.22 (a bit high), and triglycerides 1.46. My sexual performance lasts only one minute. Could you please advise on how to treat my condition and what medication I should take? Thank you, looking forward to your reply!First follow-up question: I'd like to ask if there's a relationship between the prostate and premature ejaculation or nocturnal emissions. Also, it's winter now.
Doctor's answer:
Premature ejaculation refers to the condition where ejaculation occurs at the beginning of sexual intercourse, or even before intercourse begins. This condition can be effectively treated with Traditional Chinese Medicine (TCM), yielding relatively ideal results. The differentiation of premature ejaculation in TCM includes Yin deficiency with excess fire and Yin-Yang deficiency, with treatment primarily focusing on nourishing Yin, tonifying the kidneys, and replenishing essence. For those with excess fire, cooling methods are added, while for those with Yang deficiency, warming the kidneys is incorporated. However, TCM emphasizes syndrome differentiation and treatment, so it is essential to consult a local TCM hospital. Clinical observation, combined with the four diagnostic methods, is necessary for effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of tension, abstaining from masturbation, and appropriate physical exercise play important roles in the treatment of premature ejaculation. Below are some expert-recommended techniques for delaying ejaculation, for reference:1. Pulling the Scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if the scrotum and testicles are pulled toward the perineum, excitement can be reduced, and ejaculation can be delayed.
2. Reducing Sexual Sensitivity: Using condoms or applying topical medications to the penis head before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can lower the sensitivity of the sensory nerve endings in the penis head.
3. Alternating Cold and Hot Sit Baths: Take a 15-minute sit bath in cold water before bed, followed by a 15-minute sit bath in warm water. Do this once daily to improve control over ejaculation in the posterior urethra.
Technique: Adopt a supine position with legs straight and feet about 100 cm apart. Place your hands by your hips, relax naturally, focus your gaze inward, and concentrate on the lower Dantian. Close your mouth and press your tongue to the roof of your mouth. First, focus on the lower Dantian for 2 minutes, then begin inhaling. As you inhale, tighten your abdomen and lift your anus, causing the penis, testicles, and anus to contract simultaneously while drawing the lower abdomen in. At this moment, imagine the flow of qi