Patient's question:
I'm 23 years old. I started masturbating at 19. At first, I did it once a day, but now I do it once a week. Now my penis is severely tilted to the right, my memory has significantly declined, I have difficulty getting erect, and I ejaculate within two or three minutes of masturbating. I'm about to get married. Can it be treated?Doctor's answer:
Hello, you had better give up masturbation. Treatment for premature ejaculation:(1) Western medicine treatment:
A. Oral medication: To reduce excitement, small doses of anti-anxiety or sedative drugs can be given. You can choose one of the following:
Triebrom tablets 0.1–0.3 grams, three times daily.
Phenobarbital 0.03 grams, three times daily.
Oryzanol 10 milligrams, three times daily.
Probenecid 30 milligrams + Librium 20 milligrams, once nightly.
Take 25 milligrams of thioridazine one hour before intercourse to inhibit ejaculation.
B. Topical medication: Wash the glans penis 0.5–1 hour before intercourse, then apply a small amount of anesthetic cream, such as 1% diclofenac ointment, or 1% procaine or 2% cocaine. Note that only a small amount of the medication should be applied to the tip of the glans; excessive application may reduce the ejaculation reflex, even leading to anejaculation, and may also affect erectile function, causing the erection to be weak.