I would like to ask about 1% lidocaine, 1% diclofenac gel, and 3% ammonia.

Patient's question:

Patient Age: 24
Detailed Condition and Purpose of Consultation: I have urethritis accompanied by premature ejaculation. During sexual activity, I am reluctant to take aphrodisiacs or apply ointments. I would like to ask the doctor if there are any oral medications or topical treatments that can prevent premature ejaculation without side effects.
Duration of Current Illness: 3 years
Current General Condition: Painful urination, pain in the glans when touched, accompanied by premature ejaculation
Medical History: Urethritis
Previous Diagnoses and Treatment History and Effectiveness: Poor
Additional Tests: None
Other:

Doctor's answer:

Hello: Are you suffering from prostatitis, not urethritis. A prostatic fluid test can confirm the diagnosis.
Methods to delay ejaculation include:
1. Pulling the scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles rise. If the scrotum and testicles are pulled toward the perineum at this time, excitement can be reduced, delaying ejaculation.
2. Reducing sexual sensitivity: Use a condom, or apply medication to the glans penis 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 glans.
3. Alternating hot and cold sitz baths: Take a 15-minute cold sitz bath before bed, followed by a 15-minute warm sitz bath. Do this once daily to improve the ability to control ejaculation from the posterior urethra.
4. Adopt the supine position with legs straight and feet about 100 cm apart. Place your hands by your hips, relaxed naturally. Look inward, focusing 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 while the lower abdomen is drawn in. At this time, imagine the air flowing from the glans 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 air with your mind, along with the saliva in your mouth, down to the lower Dantian. Additionally, during each inhalation, tense your fingers and toes. After the air reaches the lower Dantian, relax your hands and feet. Repeat 3–9 times.