Patient's question:
Patient Gender: MaleDetailed Condition and Purpose of Consultation: Premature Ejaculation during Sex
Duration of Current Illness: 2 minutes
Current General Condition: Very Well
Medical History: None
Previous Diagnoses and Treatment History: No diagnosis or treatment
Ancillary Examinations: None
Other: None
Doctor's answer:
Hello:Consider premature ejaculation.
Western and Eastern medical methods for treating premature ejaculation.
For the treatment of premature ejaculation, prevention is key. First, it is important to strengthen sexual education and understand the physiological differences between female and male sexual climax, which often occurs later in women. If a couple occasionally experiences premature ejaculation, they should not blame the male partner. For more significant cases of premature ejaculation, the couple may temporarily separate for a period of time. This can break established pathological conditioned reflexes and allow sexual function to be adjusted and the reflex for ejaculation to be rebuilt. Close cooperation between both partners can also extend sexual intercourse time, ensuring mutual sexual satisfaction. Avoid excessive excitement during intercourse. When nearing ejaculation, stop thrusting the penis in and out of the vagina and divert attention from the sexual organs to non-sexual areas. Those who experience premature ejaculation due to excessive indulgence or prolonged masturbation can gradually reduce the condition by practicing moderate abstinence and abstaining from masturbation. Individuals with premature ejaculation caused by organic lesions should receive treatment targeting the underlying cause.
（1）Western medicine treatment:
Ａ. Oral medication: To reduce excitability, low-dose anti-anxiety or sedative drugs can be administered. Choose one of the following:
Trinitrin 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 plus Meprobamate 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 and apply a small amount of anesthetic cream, such as 1% Dyclonine ointment.