Patient's question:
Detailed medical condition and consultation purpose: When I have sexual intercourse, my penis usually enters the woman's body and I can only thrust for about 3-5 minutes before ejaculation. However, I often hear on radio health programs that a normal man should be able to thrust for about 20 minutes before ejaculation. What should I do about this situation? Are there any effective medications? Please guide me, doctor. Thank you very much!!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, replenishing the kidneys, and benefiting essence. For those with excess fire, fire-reducing methods are added, while for those with Yang deficiency, warming the kidney Yang is incorporated. However, TCM emphasizes syndrome differentiation and treatment based on individual cases. It is recommended to consult a local TCM hospital, combining clinical observations with the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) to achieve effective treatment. Additionally, temporary separation of the couple, mutual care and understanding, relaxation of 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 head 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 head.
3. Alternating hot and cold sit baths: Take a 15-minute sit bath in cold water before bed, followed by a 15-minute sit bath in warm water. Do this once daily to improve the ability to control ejaculation from the posterior urethra.
4. Adopt the supine position: Extend both legs straight, with the feet about 100 cm apart. Place both hands by the hips, naturally relaxed. Gaze 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. During inhalation, contract the abdomen and anal sphincter, causing the penis, testicles, and anus to tighten simultaneously while the lower abdomen is drawn in. At this time, visualize the breath traveling from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine.