Patient's question:
I am 20 years old this year and have never had sexual experience. However, every time I masturbate for about ten seconds, I finish. Now I really don't know what to do. (I heard from a friend that Liu Wei Di Huang Wan has a kidney-tonifying effect, and I have been taking it recently, but I feel like it hasn't had any effect. By the way, do I need to take this medicine?) I'm so worried about what will happen in the future. Although I'm not bad-looking, if a man isn't good at it, what will happen? Please help me find out what's wrong (I hope you won't disappoint me). Is there any medicine that can help me cure this? I sincerely say "thank you" again.Doctor's answer:
Premature ejaculation refers to the condition where ejaculation occurs at the beginning of sexual intercourse, or even before intercourse begins. Traditional Chinese Medicine (TCM) treatment for premature ejaculation is relatively effective. 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, cooling methods are added, while for those with Yang deficiency, warming the kidneys is incorporated. However, TCM emphasizes syndrome differentiation and treatment, so it is advisable to consult a local traditional Chinese medicine hospital. Clinical observation, combined with the four diagnostic methods, is necessary for effective treatment. Mutual care, alleviating tension, avoiding masturbation, and appropriate physical exercise play important roles in treating 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 on the penis.
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 control over ejaculation in the posterior urethra.
4. Prone position: Lie flat on your back with your legs straight and about 100 cm apart. Place your hands by your hips, relax naturally, focus your gaze inward, and concentrate 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 rectum, causing the penis, testicles, and anus to contract simultaneously while drawing the lower abdomen in. At this time, imagine the breath moving from the glans penis through the penis to the perineum, then from the perineum through the coccyx along the spine upward to the Du Zhong (GV4), and finally to the Baihui (GV20). Exhale while guiding the breath with your mind, along with the saliva in your mouth, down to the lower Dantian. Additionally, during each inhalation, tense your fingers and toes. After the breath reaches the lower Dantian, relax your hands and feet. Repeat this 3 to 9 times.