Patient's question:
Detailed medical condition and consultation purpose: Recently, for some unknown reason, I have unknowingly developed premature ejaculation. Since a year ago, I found a girlfriend, but she refused to have sex, so I often used my hands to satisfy me. I suspect whether this situation led to the current premature ejaculation, or whether it's due to kidney deficiency? The previous girlfriend has already broken up with me, and now I am about to get married to another girl. I want to get better as soon as possible!Duration and persistence of the condition: 2 months
Current general condition: I ejaculate shortly after entering. It's probably less than two minutes.
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 cases with excess fire, fire-reducing methods are combined, while for cases with Yang deficiency, warming the kidneys is added. However, TCM emphasizes syndrome differentiation and treatment, so it is essential to consult a local TCM hospital for clinical assessment, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to achieve effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relief from tension, abstaining from masturbation, 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 are raised. At this time, if the scrotum and testicles are pulled toward the perineum, the excitability can be reduced, and ejaculation can be delayed.
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: Extend both legs, keeping them 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 in. At this time, visualize the energy flowing from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine.