Patient's question:
[Condition Description: My sexual activity usually does not exceed three minutes. I can achieve normal erection. However, I lose erection about one minute after insertion. If I don't insert for too long, I also lose erection. I have phimosis. Every time I lose erection, I feel it's due to the excessive sensitivity of the glans that I cannot control it. Is it really all caused by phimosis leading to such a severe condition? I can have sex for over an hour with coffee and salt, but later it stopped working. What could be the reason? What should I do?Duration of the current episode and ongoing condition: All times during sexual activity
Previous diagnoses and treatment history and effectiveness: No examination has been conducted.]
Doctor's answer:
[Condition Analysis: Hello: Based on your situation, it is likely related to excessive prepuce. You should consider circumcision. Methods for male premature ejaculation delay:1. Pull the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. If you pull the scrotum and testicles toward the perineum at this time, you can reduce excitement and delay ejaculation.
2. Reduce sexual sensitivity: Use a condom or apply medication to the penis head 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 penis head.
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, relaxed naturally. Look inward, focusing 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 inhaling. As you inhale, tighten your abdomen and rectum, causing the penis, testicles, and anus to contract while the lower abdomen is drawn in. At this time, imagine the qi flowing 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 then to the Baihui (GV20). Exhale while guiding the qi with your mind through the mouth, along with the saliva in your mouth, down to the lower Dantian. Additionally, during each inhalation, tense your fingers and toes. After the qi reaches the lower Dantian, relax your hands and feet. Repeat 3-9 times.