Patient's question:
During sexual intercourse, ejaculation occurs immediately after the penis becomes erect. Sometimes, without waiting for full erection, ejaculation happens under sexual stimulation.Doctor's answer:
The causes of premature ejaculation are difficult to pinpoint. However, since prostatitis and phimosis (repeatedly mentioned in the original text) have a certain relationship with premature ejaculation, it is necessary to rule out or treat these conditions. If there are no such issues, other causes are basically ruled out, and at this point, medication and control of ejaculation exercises are required.In terms of medication, the best option currently is dapoxetine (brand name:). Additionally, traditional Chinese medicine can be taken concurrently, and the effects are generally quite good. Dapoxetine is currently the only drug specifically developed for premature ejaculation and has been approved for its treatment in over 60 countries and regions worldwide. It has also been approved by China's National Food and Drug Administration (CFDA) for marketing in China.
The mechanism of action of sertraline is similar to that of dapoxetine, but it has fewer side effects and is less effective. Moreover, premature ejaculation is not within its approved indications for treatment. Sertraline was used for premature ejaculation before dapoxetine was available, but now that dapoxetine is available, sertraline is no longer used for this purpose.
You can come to my clinic for an evaluation.