Patient's question:
Before having sex with my girlfriend, I become excessively excited. As soon as I see her, I get hard, but talking to her makes it soften again. By the time we start kissing and having sex, it’s already been 5–10 minutes. When I get hard again, the sex lasts only 3–5 minutes. Why is the duration so short? Is it due to excessive excitement or other reasons? Because of work, I often sit in front of the computer and don’t exercise much—is this related? This has happened three times already, with each incident occurring more than a week apart.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 hyperactivity of fire and Yin-Yang deficiency, with treatment primarily focusing on nourishing Yin, replenishing the kidneys, and tonifying essence. For cases with hyperactivity of fire, it is advisable to reduce the fire, while for cases with Yang deficiency, it is recommended to warm the kidneys. However, TCM emphasizes syndrome differentiation and treatment, so it is essential to consult a local TCM hospital, combine clinical observations with the four diagnostic methods, and only then can the medicine effectively treat the condition. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of tension, abstaining from masturbation, and appropriate physical exercise all play important roles in the treatment of premature ejaculation. Wishing you a speedy recovery.1. Pulling the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles are raised. At this time, if the scrotum and testicles are pulled toward the perineum, the excitement can be reduced, and ejaculation can be delayed.
2. Reducing sexual sensitivity: Using a condom 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 head of the penis.
3. Alternating hot and cold 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 the ability to control ejaculation from the posterior urethra.
Adopt the supine position with both legs straight and feet about 100 cm apart. Place your hands by your hips, naturally relaxed, and focus your gaze inward, meditating on the lower Dantian. Close your mouth and press your tongue to the roof of your mouth. First, meditate on the lower Dantian for 2 minutes, then begin inhaling. 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 moment, visualize the energy flowing from the glans