Patient's question:
Hello, I am 23 years old and frequently masturbate. Recently, I was diagnosed with prostatitis. During sexual intercourse, if I penetrate and continuously thrust for three or four minutes, I will ejaculate. What should I do now? How should I treat it? Thank you!Doctor's answer:
Premature ejaculation refers to the condition where ejaculation occurs at the beginning of sexual intercourse, or even before intercourse, and this condition can be effectively treated with Traditional Chinese Medicine (TCM). The differentiation of premature ejaculation in TCM includes Yin deficiency with hyperactivity of fire and deficiency of both Yin and Yang. The treatment primarily focuses on nourishing Yin, replenishing the kidneys, and tonifying essence. For those with hyperactivity of fire, the treatment also involves cooling the fire, while for those with Yang deficiency, it involves warming the kidneys. However, TCM emphasizes syndrome differentiation and treatment, so it is recommended to consult a local TCM hospital for clinical diagnosis, combining the four diagnostic methods to achieve effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of tension, abstaining from masturbation, and appropriate physical exercise play important roles in the treatment of 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 towards the perineum, the excitement can be reduced, and ejaculation can be delayed.
2. Reducing sexual sensitivity: Using a condom or applying external medications to the penis before intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, can reduce the sensitivity of the sensory nerve endings on the head of the penis.
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 with legs straight and about 100 cm apart. Place your hands by your hips, naturally relaxed. Gaze 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 to breathe in. During inhalation, contract your abdomen and anal sphincter, causing the penis, testicles, and anus to contract simultaneously while the lower abdomen is drawn in. At this time, imagine the Qi flowing from the glans penis through the penis to the perineum, and from the perineum through the coccyx along the spine.