Patient's question:
Just got married three months ago, having sex once a week, but the time is very short and it goes very quickly to ejaculation. Could it be premature ejaculation?It has happened three times already. At first, it was normal.
Doctor's answer:
Hello: This does not qualify as premature ejaculation. To delay ejaculation, you can perform the following exercises:1. Traction of the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles elevate. At this time, if you pull the scrotum and testicles toward the perineum, you can reduce arousal and delay ejaculation.
2. Reduce sexual sensitivity: Use a condom or apply topical medications to the penis head before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, to lower the sensitivity of the sensory nerve endings on the penis head.
3. Alternating hot and cold sit baths: Take a 15-minute cold sit bath before bed, followed by a 15-minute warm sit bath. Do this once daily to improve the ability to control ejaculation in the posterior urethra.
4. Practice the supine position: Lie flat on your back with your legs straight and your 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. As you inhale, tighten your abdomen and lift your rectum, causing the penis, testicles, and anus to contract 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 upward to the Du Zhong (GV4), and finally to the Baihui (GV20). Exhale while guiding the energy with your mind through the mouth, along with the saliva in your mouth, down to the lower Dantian. Additionally, during each inhalation, tense your fingers and toes. After the energy reaches the lower Dantian, relax your hands and feet. Repeat this 3–9 times.