Patient's question:
AgeDetailed medical history and purpose of consultation: Previously had normal sexual performance, but after remarriage, experienced weak erection, short duration (around one minute), premature ejaculation, and sweating. Is it due to kidney deficiency or psychological factors?
Current general condition: The same for a long time. Very afraid of upsetting my wife.
Medical history: None
Previous diagnoses and treatments, as well as their effectiveness: Have not sought medical attention.
Auxiliary examinations: None
Other:
First follow-up question: Are there specific methods to solve this, such as medication? Is it related to kidney deficiency?
Second follow-up question: Before today's examination
Doctor's answer:
There are many ways to treat premature ejaculation.1. Medication: The main medications currently used to treat premature ejaculation are dapoxetine, which is usually taken two hours before sexual activity. It is rapidly absorbed and excreted with fewer side effects.
2. Surgical treatment: Surgery involves removing a portion of the local nerve endings to reduce sensitivity. However, surgical treatment is not yet standardized, so caution should be exercised when choosing this method.
3. Behavioral therapy: Couples can help the patient enjoy sexual pleasure through hugs, caresses, and other means, while improving ejaculation control through certain behavioral training.
4. Partner involvement in treatment: The female partner needs to have a correct understanding of premature ejaculation, actively cooperate with the patient in diagnosis and treatment, and provide appropriate support during sexual activity to help build the patient's confidence.