Patient's question:
Patient Gender: I am currently experiencing erectile dysfunction and premature ejaculation due to masturbation. I would like to ask if there are any good medications that can treat this, or if there are non-medication-based treatment methods?Preferably, medications without side effects, such as natural or traditional Chinese medicine. Can you help me? I need to improve. I am currently very frustrated. During sexual intercourse with my girlfriend, I always lose my erection before she reaches orgasm. Additionally, my penis lacks hardness.
Doctor's answer:
Hello:The stimulus threshold is like a "threshold." If it's too low, any stimulus can cross it and cause a tissue response, leading to excessive tissue excitability. If it's too high, few stimuli can cross it, and the tissue rarely responds, resulting in low tissue excitability. Therefore, the key to treating premature ejaculation lies in raising this "threshold," which means increasing the stimulus threshold. Generally, we often use the following methods for treatment.
Both partners participate in the treatment. Education about sexual physiology is provided for both partners to alleviate mental tension and eliminate fear. Some men may experience one or two instances of premature ejaculation after marriage due to unusual excitement, which is not uncommon. It's important not to assume a serious illness just because of occasional premature ejaculation. As long as sexual issues are handled correctly and sexual life is regulated, premature ejaculation can be completely avoided.
The pain of premature ejaculation affects both partners. If the female partner's sexual desire is not satisfied for a long time or if she is unable to conceive, it may lead to dissatisfaction, disdain, or even hostility towards the male partner. Therefore, the female partner should recognize that this inability to control arousal is caused by psychological factors or other diseases. If the male partner experiences premature ejaculation, the female partner should show extra care, tenderness, and emotional support, which can help the male partner recover more quickly.
Change sexual positions. For example, adopting the female-on-top position allows the female partner to engage in vigorous friction of the sexual organs while the male partner, in a passive position, remains relaxed with low excitability, enabling both partners to reach climax simultaneously. Alternatively, the side position can be used to avoid intense hip movements and reduce blood flow downward due to pelvic congestion syndrome.