Patient's question:
He has had several instances where his erection to ejaculation time is less than one minute. Is this a symptom of premature ejaculation?First follow-up question: He used to have this situation occasionally, but later, due to some family issues and lack of rest every day, it became more noticeable.
His erection should be fine—his penis stays hard for a long time, but as soon as he starts, he can only last a few thrusts before ejaculation. Is this caused by fatigue, or is it completely a medical condition? Will it affect fertility?
Doctor's answer:
Hello: Methods for Men to Delay Premature Ejaculation1. Traction of the Scrotum: During high sexual arousal and climax, the scrotum contracts, and the testicles elevate. 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: Use a condom, or apply medication to the glans penis before sexual intercourse, such as 1% lidocaine, 1% diclofenac ointment, or 3% ethyl aminobenzoate cold cream, to reduce the sensitivity of the sensory nerve endings in the glans penis.
3. Alternating Cold and Hot Sit Baths: Take a 15-minute sit bath in cold water before going to bed each night, 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.