Patient's question:
Male, 30, I used to have poor sexual performance. The longer the duration, the more my legs would feel sore, and my stamina wasn't great either. I felt like I had some kidney deficiency. Recently, I've been experiencing frequent nocturnal emissions. I also had a checkup for blood lipids and kidney function, and the results 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 about one minute. Could you please advise on how to treat my condition and what medications I should take? Thank you, and I look forward to your response!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 currently winter.
Doctor's answer:
Ejaculatory premature refers to the condition where ejaculation occurs at the beginning of sexual intercourse, or even before intercourse. Traditional Chinese Medicine (TCM) treatment for this condition is relatively effective. The differentiation of premature ejaculation in TCM includes Yin deficiency with excess fire and Yin-Yang deficiency, with the primary treatment focusing on nourishing Yin, replenishing the kidneys, and tonifying essence. For those with excess fire, it is recommended to reduce the fire, while for those with Yang deficiency, it is advisable to warm the kidneys. However, TCM emphasizes syndrome differentiation and treatment. It is recommended to consult a local TCM hospital, combining clinical observations with the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to achieve 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 training methods to delay ejaculation for reference:1. Pulling the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. If the scrotum and testicles are pulled toward the perineum at this time, it can reduce excitement and delay ejaculation.
2. Reducing sexual sensitivity: Using condoms or applying topical medications to the penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can lower the sensitivity of the sensory nerve endings on the penis.
3. Alternating hot and cold sit baths: Take a 15-minute cold sit bath before bed, followed by a 15-minute warm sit bath. Do this once daily to improve the ability to control ejaculation in the posterior urethra.
Practice Method:
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 to inhale. During inhalation, tighten your abdomen and lift your rectum, causing the penis, testicles, and anus to contract simultaneously while the lower abdomen is drawn in. At this time, imagine the flow of qi