How to deal with premature ejaculation after masturbating for ten years

Patient's question:

Hello Dr. Gu, I am a patient with premature ejaculation. My erection hardness is weak, firm but not strong, and my glans is highly sensitive. Sometimes my scrotum is damp and itchy. I can only last about two minutes inside, and the semen I ejaculate is very thin. I have a problem with masturbation, having done it for over ten years. Sometimes my urethral opening hurts, and I have difficulty urinating with a weak stream, feeling like I can't empty my bladder completely. I also experience lower back pain, cold hands and feet, memory loss, and feel hot in the summer and cold in the winter.
Hello Dr. Qin, I am a patient with premature ejaculation. My erection hardness is weak, firm but not strong, and my glans is highly sensitive. Sometimes my scrotum is damp and itchy. I can only last about two minutes inside, and the semen I ejaculate is very thin. I have a problem with masturbation, having done it for over ten years. Sometimes my urethral opening hurts, and I have difficulty urinating with a weak stream, feeling like I can't empty my bladder completely. I also experience lower back pain, cold hands and feet, memory loss, and feel hot in the summer and cold in the winter. I feel lethargic, my hands and feet are weak, and I lack energy. During the day, I feel tired and sleepy, but at night, I am full of energy.
Spicy foods, lamb, beef, dog meat, and seafood make me prone to getting hot if I eat too much. I also get blisters on my lips and pus-filled sores. I feel lethargic, my hands and feet are weak, and I lack energy. During the day, I feel tired and sleepy, but at night, I am full of energy. Spicy foods, lamb, beef, dog meat, and seafood make me prone to getting hot if I eat too much. I also get blisters on my lips and pus-filled sores.
What good advice do you have for me? Or is there any other effective treatment?

Doctor's answer:

Hello, masturbation is a normal phenomenon for unmarried young people. Generally, doing it once a week will not affect physical health. Frequent masturbation can easily lead to prostatitis and urinary tract infections, as well as poor mental state, fatigue, low libido, and impact on work and study. In severe cases, it may also affect fertility. When masturbation is done once a week, it can help relieve sexual pressure. Don't feel ashamed about it either. It is recommended to actively abstain from it. If it leads to the above diseases, appropriate treatment should be given.

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