Is it premature ejaculation if you ejaculate within 4 to 5 minutes during sex with your wife?

Patient's question:

During sex with my wife, I usually ejaculate in 4 to 5 minutes, but sometimes I can last for more than 20 minutes. I used to masturbate, and I have sex about three to four times a week. I'm 29 years old now. Is this considered premature ejaculation, or is it due to kidney deficiency?

Doctor's answer:

Hello, there are many reasons that can cause the symptoms mentioned above, such as kidney deficiency or prostatitis, etc. It is recommended to go to the urology department of a hospital for examination to confirm the cause and then receive symptomatic treatment. Psychological and spiritual factors causing premature ejaculation should primarily be regulated through daily life. For organic premature ejaculation, it is possible to accumulate sexual experience, and couples should engage in emotional communication to eliminate barriers. Proper foreplay should be done to better complete sexual life. Avoid excessive fatigue and ensure sufficient energy before engaging in sexual activity, otherwise failure will only further damage a man's self-esteem. Treatment drugs can include traditional Chinese medicine, which has a very good therapeutic effect on male premature ejaculation. Treatment requires patience, and physical therapy can be combined. It is important to rest and avoid exhaustion, maintain good personal hygiene, and avoid alcohol, smoking, and spicy, stimulating foods.

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