Patient's question:
As a man, this ability is not good, I feel I can't speak everywhere, and it's very troublesome. I suffer from premature ejaculation.Doctor's answer:
Hello, sometimes medication cannot solve all problems, and the same goes for drugs to treat premature ejaculation. Targeted treatment is necessary. Some people feel anxious during intercourse, fearing early ejaculation and causing dissatisfaction in their partner. Others, due to misunderstandings about sexual knowledge, unjustly doubt their sexual ability, always feeling ashamed during intercourse—these can all lead to premature ejaculation. These issues cannot be resolved with medication alone. Marital dissatisfaction, such as suspicion, jealousy, or excessive reverence for one's partner, can also cause premature ejaculation.So, how is premature ejaculation treated? Currently, there are many methods for treating premature ejaculation, which can be summarized into four main categories: behavioral therapy, medication, physical therapy, and surgical treatment. Behavioral therapy generally involves consciously controlling frequency, intensity, pauses, and increasing techniques during intercourse. While it yields significant short-term effects, it does not provide long-term improvement and is usually used as supplementary treatment. Medication includes oral and topical drugs. Oral medications primarily work by inhibiting the neural reflex threshold to delay ejaculation, while topical medications are applied to sensitive areas like the glans, corona, or frenulum to reduce sensitivity. The drawback of medication treatment is that it does not address the root cause. Oral medications have certain contraindications, and if topical medications are not cleaned thoroughly, they may lead to cross-infection.
Physical therapy includes shortwave diathermy, vacuum negative pressure, and acupressure massage. Its characteristics are similar to behavioral therapy, and it is generally used as supplementary treatment. Common surgical methods include selective penile dorsal nerve resection and penile implant surgery. However, such surgical treatments involve a certain degree of trauma. Both doctors and patients should approach surgical treatment with caution before making a decision.
With the continuous improvement of living standards, people are increasingly demanding higher quality spiritual lives, especially regarding sexual quality. This requires urologists and andrologists to invent and seek newer, better methods to address premature ejaculation. The key to treating premature ejaculation lies in identifying the root cause and conducting scientific treatment targeting the core issue.