Patient's question:
I and my wife have difficulty with premature ejaculation during sex, especially when my wife is highly aroused, making it almost impossible for me to control myself. Is this considered premature ejaculation? Additionally, I sometimes feel pain in my right testicle, which also causes pain in the right lower abdomen. What could be the reason for this?Doctor's answer:
Hello: You can improve it through the following methods.Change sexual positions. For example, if you adopt the woman-on-top position, the woman can perform vigorous friction with her sexual organs while the man is in a passive position, with relaxed muscles and low excitement, allowing both to reach climax simultaneously. Alternatively, you can try the side position, which avoids intense hip movements and reduces blood diversion from the pelvic area to the lower limbs due to pelvic congestion syndrome. Due to the reduced effort and smaller range of motion, the man’s excitement develops more slowly, helping to delay ejaculation.
Choose the right time for sexual activity. For instance, having sex in the morning after waking up can provide energy; sleeping first before sex can avoid tension. After a single ejaculation, having sex again that night will definitely extend the duration. Alternatively, masturbating first and then having sex after the refractory period has passed can also achieve the effects of prolonging sexual activity and controlling ejaculation.
Cold and hot sitz baths can improve the ability of the posterior urethra to inhibit ejaculation.
If premature ejaculation occurs frequently, it is best to abstain from sexual activity for a period, avoid sexual stimulation, establish a regular lifestyle, ensure adequate sleep, and moderately increase nutrition to enhance physical fitness. At the same time, you should also quit smoking, drinking, and other stimulants.
Wear a condom during sexual activity. This can reduce the sensitivity of the glans during the man’s excitement, prolonging the duration of intercourse.