Patient's question:
How to deal with premature ejaculation when sex is not satisfying?Doctor's answer:
Hello: The treatment of premature ejaculation (PE) focuses on prevention. First, it is important to enhance sexual education and understand the physiological differences between female and male sexual climax, which often occurs later in women. If premature ejaculation occurs occasionally between partners, do not blame the male. For more significant cases of PE, the couple may temporarily separate for a period of time. This can break established pathological conditioned reflexes and allow sexual function to be adjusted and the reflex for ejaculation to be rebuilt. Close cooperation between partners can also extend sexual intercourse duration, allowing both to achieve sexual satisfaction. During intercourse, avoid excessive excitement. When nearing ejaculation, stop thrusting the penis in and out of the vagina and divert attention from the sexual organs to non-sexual areas. Those who suffer from PE due to excessive masturbation or long-term self-stimulation may gradually reduce PE by practicing moderate abstinence and abstaining from masturbation. Individuals with PE caused by organic lesions should undergo treatment targeting the underlying cause.（1）Western Medication Treatment:
A. Oral Medications: To reduce excitability, low-dose anti-anxiety or sedative medications can be administered. Choose one of the following:
Brompheniramine tablets 0.1–0.3 grams, taken three times daily.
Phenobarbital 0.03 grams, taken three times daily.
Oryzanol 10 milligrams, taken three times daily.
Probenecid 30 milligrams plus Meprobamate 20 milligrams, taken once nightly.
Take Methylphenidate 25 milligrams one hour before intercourse to inhibit ejaculation.
B. Topical Medications: Wash the glans penis 0.5–1 hour before intercourse and apply a small amount of anesthetic ointment, such as 1% Dyclonine ointment, or 1% Lidocaine or 2% Cocaine. Note that only a small amount of medication should be applied to the tip of the glans; excessive application should be avoided, otherwise...