Patient's question:
I have had premature ejaculation for many years. Wearing a condom can prolong the time, but I'm not used to wearing it all the time. Additionally, after drinking alcohol, my sexual performance tends to be significantly longer. Why is this the case? For my condition, what medications should I take? Please provide an answer from an expert. Thank you.Doctor's answer:
Hello, it is recommended that both partners attend therapy together. Education on sexual physiology and related aspects should be provided to both parties to alleviate mental tension and eliminate fear. For some men, experiencing one or two cases of premature ejaculation after marriage due to unusual excitement is inevitable. Do not assume a serious illness has developed because of occasional premature ejaculation. As long as sexual issues are approached correctly and sexual patterns are mastered, premature ejaculation can be completely avoided.The pain of premature ejaculation affects both partners. If a woman's sexual desire remains unsatisfied for a long time or she is unable to conceive, it is inevitable that she will develop some dissatisfaction, contempt, or even hostility towards her partner. Therefore, women should recognize that this inability to control it is caused by mental factors or other diseases. If a man experiences premature ejaculation, the woman should show extra tenderness, care, and emotional support, which will help him recover more quickly.
Change sexual positions. For example, adopting the female-on-top position allows the woman to perform vigorous friction on the sexual organs while the man remains in a passive position, with relaxed muscles and lower excitement, enabling both to reach climax simultaneously. Alternatively, the side position can be used to avoid intense hip movements and reduce blood flow diversion from the pelvis to the 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 timing of sexual intercourse. For instance, having sex after waking up in the morning ensures energy; sleeping first before sex avoids 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 goal of prolonging sexual intercourse and controlling ejaculation.