Patient's question:
Ejaculation during masturbation led to premature ejaculation, how to treat it? (Four-year history) First follow-up question: Director Yang: The methods you mentioned, I have tried, but they didn't work! I want to use medication, please recommend a good hospital!Doctor's answer:
Hello: First, it is important to actively abstain from masturbation!A. Oral Medications: To reduce excitement, small doses of anti-anxiety or sedative medications can be administered. You may choose one of the following:
Trisodium Amylbarbital Tablets 0.1–0.3 grams, three times daily.
Phenobarbital 0.03 grams, three times daily.
Oryzanol 10 milligrams, three times daily.
Propantheline 30 milligrams + Chloral Hydrate 20 milligrams, once nightly.
Methydopa 25 milligrams, taken one hour before intercourse to inhibit ejaculation.
B. Topical Medications: 0.5–1 hour before intercourse, wash the glans penis and apply a small amount of anesthetic ointment, such as 1% Dyclonine ointment, or 1% Lidocaine or 2% Cocaine. Note that only a small amount 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 weak erections.