Patient's question:
Detailed medical condition and consultation purpose: Hello! Doctors, when I have sex with my girlfriend, I haven't even entered yet, and I've already experienced premature ejaculation. It's always like this, even when I'm dreaming. How can I treat this condition? What medicine should I take now? Can I take traditional Chinese medicine? I'm feeling very frustrated right now. Please reply quickly, thank you very much! Sorry, I can't go to the hospital, so I found this online hospital. Can you help me? Thank you!Doctor's answer:
Hello: Your situation is very likely to be psychological! The treatment of premature ejaculation focuses on prevention. First, it is important to strengthen sexual education and understand the physiological differences between female and male sexual climax, which usually occurs later in women. If a couple occasionally experiences premature ejaculation, they should not blame the male partner. For more significant cases of premature ejaculation, the couple may temporarily separate for a period of time. This can break the established pathological conditioned reflex and allow sexual function to be adjusted and the reflex of ejaculation to be rebuilt. Close cooperation between both partners can also extend sexual intercourse time, allowing both to achieve sexual satisfaction. Avoid excessive excitement during intercourse. When nearing ejaculation, stop thrusting the penis in and out of the vagina and divert attention from the sexual organs to non-sexual areas. Those who suffer from premature ejaculation due to excessive masturbation or long-term self-stimulation can gradually reduce premature ejaculation by practicing moderate abstinence and abstaining from masturbation. Individuals with premature ejaculation caused by organic lesions should receive treatment targeting the underlying cause.(1) Western Medicine Treatment:
A. Oral Medication: To reduce excitability, low-dose anti-anxiety or sedative drugs can be administered. Choose one of the following:
Tr 0.1～0.3 grams, three times daily.
Luminal 0.03 grams, three times daily.
Oryzanol 10 milligrams, three times daily.
Probenecid 30 milligrams + Librium 20 milligrams, once nightly.
Take 25 milligrams of thioridazine one hour before intercourse to inhibit ejaculation.
B. Topical Medication: Wash the glans of the penis 0.5 to 1 hour before intercourse and apply a small amount of anesthetic ointment, such as 1% Dyclonine ointment, or 1% procaine or 2% cocaine. Note that the medication should only