Patient's question:
Detailed medical history and purpose of consultation: Around the age of 16, there was 2 to 3 years of masturbation, with rapid ejaculation each time. After getting married, the condition persisted as premature ejaculation, almost leading to immediate ejaculation with almost no stimulation, making it difficult for the female partner to reach orgasm.Previous diagnosis and treatment history and effectiveness: Consulted a traditional Chinese medicine practitioner, who said it was due to damaged vital energy. Tried taking Chinese herbal medicine, but it was ineffective.
Doctor's answer:
The stimulus threshold is like a "threshold." When it's too low, any stimulus can cross it and cause a response in the tissue, leading to excessive excitability of the tissue. When it's too high, few stimuli can cross it, and the tissue rarely responds, resulting in low excitability. Therefore, the key to treating premature ejaculation lies in raising this "threshold," which means increasing the stimulus threshold. Generally, we adopt the following methods for treatment.Both partners participate in the treatment. Education on sexual physiology and other aspects is provided to both partners to alleviate mental tension and eliminate fear. Some men may experience one or two instances of premature ejaculation after marriage due to unusual excitement, and this is not uncommon. It is important not to assume a serious illness just because of occasional premature ejaculation. As long as sexual issues are handled correctly and sexual life is regulated, premature ejaculation can be completely avoided.
The pain caused by premature ejaculation affects both partners. If the female partner's sexual desire is not satisfied for a long time or if she is unable to conceive, it may lead to dissatisfaction, disdain, or even hostility toward her partner. Therefore, the female partner should recognize that this inability to control it is due to psychological factors or other diseases. If the male partner experiences premature ejaculation, the female partner should show extra affection, care, and emotional support, which can help the male partner recover more quickly.
Change sexual positions. For example, adopting the female-on-top position allows the female partner to engage in vigorous friction of the sexual organs while the male partner, in a passive position, remains relaxed with low excitability, enabling both partners to reach climax simultaneously. Alternatively, the side position can be used to avoid intense hip movements and reduce blood diversion from the pelvic area to the lower limbs due to pelvic congestion syndrome. Due to the reduced effort, the motion amplitude