Patient's question:
Patient Age: 24Detailed Condition and Purpose of Consultation: Ejaculation within one minute during sexual activity
Current General Condition: Early diarrhea
Medical History: 5 years
Previous Diagnoses and Treatment History and Effects: None
Auxiliary Examinations: None
Other: None
First Follow-up Question: I have had sex with my girlfriend many times, but the longest duration was no more than 4.5 minutes. I cannot satisfy her, and I feel very frustrated. However, my desire is extremely strong. I really want to solve this problem.
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 use 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, which is not uncommon. It's important not to assume a serious illness has developed due to occasional premature ejaculation. As long as sexual issues are handled correctly and a regular sexual routine is maintained, 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, she may develop some dissatisfaction, disdain, or even hostility towards 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, understanding, 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 with 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 region to the lower limbs. Due to the reduced effort, the range of motion