Patient's question:
Detailed medical condition and consultation purpose:I am 21 years old and have developed prostatitis due to prolonged masturbation. Currently, I am experiencing impotence and premature ejaculation. Since I am about to get married, I don’t want to leave a (regret) on our first night (I won’t use it long-term). So, I would like to ask if using Viagra would be effective in my case? What precautions should I take?
Additionally, where can I buy genuine Viagra? Is it available at regular pharmacies on the street? What is the price?
Thank you!
Doctor's answer:
Hello, it is generally not recommended to take such medications. You can try the following methods to delay premature ejaculation:1. Pull the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if you pull the scrotum and testicles toward the perineum, you can reduce excitement and delay ejaculation.
2. Reduce sexual sensitivity: Use a condom, or apply medication to the head of the penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, to lower the sensitivity of the sensory nerve endings on the head of the penis.
3. Alternate hot and cold sit baths: Take a 15-minute cold sit bath before bed, followed by a 15-minute warm sit bath, once daily. This can improve the ability to control ejaculation in the posterior urethra.
Adopt a supine position with legs straight and feet about 100 cm apart. Place your hands by your hips, relax naturally, focus your gaze inward, and concentrate on the lower Dantian. Close your mouth and press your tongue to the roof of your mouth. First, focus on the lower Dantian for 2 minutes, then begin to inhale. As you inhale, tighten your abdomen and lift your rectum, causing the penis, testicles, and anus to contract simultaneously while the lower abdomen is drawn in. At this time, imagine the breath moving from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward to the Du Zhong (GV4), and finally to the Baihui (GV20). Exhale while guiding the breath with your mind, along with the saliva in your mouth, down to the lower Dantian. Additionally, during each inhalation, tense your fingers and toes. After the breath reaches the lower Dantian, relax your hands and feet and repeat 3–9 times.