Patient's question:
I now hold the penis and it takes me over 10 strokes to ejaculate. Is this premature ejaculation? Am I already at the point of no return? Is there still a cure? What medication would be effective for this? I hope the experts can help me. I am very troubled. Thank you to all the experts.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, tonifying the kidneys, and replenishing essence. For those with excess fire, the treatment also involves reducing 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 between partners, 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 excitability 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 the 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, naturally relaxed, and focus your gaze inward, meditating on the lower Dantian. Close your mouth and press your tongue to the roof of your mouth. First, meditate on the lower Dantian for 2 minutes, then begin to inhale. As you inhale, contract your abdomen and anal sphincter, causing the penis, testicles, and anus to contract simultaneously while drawing the lower abdomen in. At this moment, visualize the Qi flowing from the glans penis through the penis to the perineum, and then from the perineum through the coccyx along the spine.