Patient's question:
How to treat premature ejaculation?Doctor's answer:
1) The treatment of premature ejaculation is a matter for both partners, and it is particularly important for the wife to be involved in the treatment. Psychological treatment for premature ejaculation requires the cooperation of the patient's wife.2) Condoms or double-layered condoms can be used to reduce penile sensitivity.
(3) Stop-and-start method: Premature ejaculation is fundamentally caused by an abnormally low threshold for the ejaculation reflex. The treatment aims to increase the ejaculation threshold and enhance a man's tolerance to sexual stimulation. Men can learn to control the timing through masturbation. The wife can also help by stroking the penis to achieve full erection, then having the husband lie down while she sits beside him or between his legs to facilitate easy stimulation. Once the husband feels the premonition of orgasm, the stimulation should be immediately stopped. After the premonition of orgasm completely disappears, the massage should be resumed. This process should be repeated three or more times to raise the ejaculation threshold. Through long-term training, the penis can adapt to the motion within the vagina, thereby increasing the ejaculation threshold.
(4) Penile head squeeze therapy: For some patients with severe premature ejaculation who have experienced some recovery of erection after various treatments but still suffer from psychological burdens and lack of confidence, the penile head squeeze method can be used. The wife places her thumb at the frenulum of the penis, and her index and middle fingers on either side of the corona. She should squeeze and press the head of the penis for 3–4 seconds, then suddenly release the pressure, applying it from front to back without pressing towards the sides.
(5) Sedatives: Librium 20 mg should be taken orally 30 minutes before intercourse, along with 10 mg of oryzanol taken orally three times daily.
(6) Chinese herbal medicine can be taken orally: Liuwei Dihuang Wan, Wuzi Yanzong Wan, Zhibai Dihuang Wan, etc. Choose one as preferred.