Patient's question:
Patient Gender: I have been married for over five months. Every time we have sex, I finish very quickly, so my wife has never reached orgasm. We have never used condoms, and my wife has not become pregnant. My sperm count is also very low. What should I do? What could be the reason for this? Is it premature ejaculation? I am 28 years old.Doctor's answer:
The fundamental reason is that the threshold for ejaculation is too low; non-pharmacological treatments also aim to raise this threshold to eliminate the connection between stimulation and response.A. The Stop-Start Method: During sexual activity, when the male experiences the urge to ejaculate, he immediately stops thrusting and leaves the penis inside the vagina. As the female becomes aroused, the vagina expands, but the head of the penis does not contact the vaginal wall, reducing stimulation to the glans and lowering sexual excitement. The sexual activity is resumed only after the urge to ejaculate completely disappears. Repeating this intermittent sexual activity can prevent premature ejaculation.
B. Physical Therapy: Treatments such as shortwave diathermy to the lumbosacral region, warm baths, and mineral baths can also aid in treatment.
C. Pulling Down the Scrotum and Testicles: During sexual activity, when the male feels the urge to ejaculate, the scrotum contracts, and the testicles rise. At this point, the female can gently pull the male's scrotum and testicles downward. This can reduce the male's sexual excitement and delay ejaculation, achieving the effect of preventing and treating premature ejaculation.
D. Using Condoms for Sexual Intercourse: Wearing condoms during sexual activity reduces friction on the penis, thereby lowering the sensitivity of male sexual excitement, extending the duration of intercourse, and preventing premature ejaculation.
F. The Squeeze Method: This is the best non-pharmacological method for treating premature ejaculation. It can raise the male's ejaculation threshold, alleviate the urgency of ejaculation, enhance sexual excitement, improve the reflex state of ejaculation, and restore or establish normal ejaculation timing. The Squeeze Method can be performed by both partners, but it is more effective when done by the female rather than the male alone.