Patient's question:
Patient Gender:Detailed Condition and Purpose of Consultation: Premature Ejaculation
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, replenishing the kidneys, and tonifying essence. For those with excess fire, cooling methods are added, while for those with Yang deficiency, warming the kidneys is incorporated. However, TCM emphasizes syndrome differentiation and treatment, so it is advisable to consult a local TCM hospital. Clinical observation, combined with the four diagnostic methods, is necessary for effective treatment. Additionally, temporary separation between partners, mutual care and understanding, relaxation of tension, and appropriate physical exercise play important roles in treating premature ejaculation. Wishing you a speedy recovery.1. Traction of the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles elevate. At this time, if the scrotum and testicles are pulled toward the perineum, excitement can be reduced, and ejaculation can be delayed.
2. Reducing sexual sensitivity: Using a condom or applying topical medications to the penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can lower the sensitivity of sensory nerve endings in the penis.
3. Alternating 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.
4. Adopt the supine position with legs straight and feet about 100 cm apart. Place your hands by your hips, relax naturally, focus your gaze inward, and concentrate 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. During inhalation, contract your abdomen and anal sphincter, causing the penis, testicles, and anus to tighten simultaneously while drawing the lower abdomen inward. At this time, visualize the Qi flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward, passing through the Du Zhong to