Patient's question:
I suspect my situation is: Due to the fear of being discovered and mocked during masturbation, I feel tense and strive to achieve rapid ejaculation, gradually developing a habit of premature ejaculation.Additionally, I smoke. What methods can be used to treat this? Can improving these habits lead to improvement? Can you recommend any medications to take? Thank you, Doctor!
First follow-up question: Are there any medications that can help with rapid recovery? Such as Western medicine. What kind of medications can be purchased at a pharmacy for regulation, as I have limited knowledge of traditional Chinese medicine? Thank you for your answer, Doctor!
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 advisable 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 tenderness, relief from 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 rise. 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: 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: 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, about 100 cm apart. Place your hands by your hips, naturally relaxed. Look 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 inhaling. As you inhale, tighten your abdomen and lift your rectum, 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 then from the perineum through the coccyx along the spine.