Patient's question:
Detailed medical condition and consultation purpose: When I have sexual intercourse and insert my penis into the woman's body, I usually orgasm within 3-5 minutes of thrusting. However, I often hear on radio health programs that a normal man should be able to thrust for about 20 minutes before reaching orgasm. Please advise on how to treat this condition, and what medications are effective? I sincerely hope you can guide me, thank you very much!!Doctor's answer:
Premature ejaculation refers to the condition where ejaculation occurs at the beginning of sexual intercourse, or even before intercourse begins. This condition can be effectively treated with Traditional Chinese Medicine (TCM), yielding relatively ideal results. The differentiation of premature ejaculation in TCM includes Yin deficiency with excess fire and Yin-Yang deficiency, with treatment primarily focusing on nourishing Yin, tonifying the kidneys, and replenishing essence. For those with excess fire, it is recommended to reduce the fire, while for those with Yang deficiency, it is advisable to warm the kidneys. However, TCM emphasizes syndrome differentiation and treatment. It is essential to consult a local TCM hospital, combining clinical observations with the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to achieve effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of tension, abstaining from masturbation, and appropriate physical exercise play important roles in the treatment of premature ejaculation. Wishing you a speedy recovery.1. Traction of the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. At this time, if the scrotum and testicles are pulled toward the perineum, it can reduce excitement and delay ejaculation.
2. Reducing sexual sensitivity: Using a condom or applying topical medications to the penis head before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can lower the sensitivity of the sensory nerve endings in the penis head.
3. Alternating hot and cold sit baths: Take a 15-minute sit bath in cold water before bed, followed by a 15-minute sit bath in warm water. Do this once daily to improve the ability to control ejaculation in the posterior urethra.
4. Adopt the supine position with legs straight, about 100 cm apart. Place your hands by your hips, naturally relaxed. Focus your gaze inward, meditating 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, contract your abdomen and anal sphincter, causing the penis, testicles, and anus to tighten simultaneously while drawing the lower abdomen inward. At this moment, visualize the energy flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine.