Erectile dysfunction, premature ejaculation - what medication to take

Patient's question:

Patient Gender: What medicine should be taken for impotence and premature ejaculation? Thank you

Doctor's answer:

Hello: Treatment of Premature Ejaculation
The treatment of premature ejaculation is a matter for both partners, and the involvement of the wife in the treatment is particularly important. There are many causes of premature ejaculation, and appropriate strategies should be adopted based on different etiologies. First, sexual knowledge should be popularized. A comprehensive understanding of the sexual history of different couples, combined with the specific condition of the patient, is essential to provide guiding suggestions and overcome psychological anxiety. The time for pre-coital comfort is indispensable. The male should appropriately distract his attention and avoid excessive tension. Both partners should coordinate and adopt various behavioral therapies to prolong the time to ejaculation. At the same time, medication should be combined to ensure that both partners have sufficient time to reach sexual arousal, climax, and pleasure during intercourse.
(1) Stop-Start Technique
Premature ejaculation is fundamentally a condition where the threshold for the ejaculation reflex is too low. The treatment aims to increase the ejaculation threshold and enhance the male's tolerance to sexual stimulation. The wife provides limited castration, allowing the penis to reach an erect state. Then, the husband lies down, and the wife sits beside him or between his legs to facilitate easy stimulation of the penis. Once the husband feels the premonition of sexual climax, the stimulation is immediately stopped. After the premonition of ejaculation completely disappears, the massage is resumed. This process is repeated three or more times to raise the ejaculation threshold. Through long-term training, the penis can adapt to the thrusting movements within the vagina, thereby increasing the ejaculation threshold.
(2) Penile Head Clamping Therapy
For some patients with severe premature ejaculation, despite improvements in penile erection after various treatments, they still bear psychological burdens and lack confidence.