How should one treat the condition of premature ejaculation?

Patient's question:

Sexual activity lasting less than one minute, often experiencing lower back pain, tinnitus, and dizziness, with a history of masturbation, which has been the case for many years.

Doctor's answer:

Taking everything into consideration, my suggestion is as follows: In terms of treatment, it is mainly possible to combine three aspects: lifestyle adjustments, psychological factor adjustments, and medication-assisted therapy. Poor lifestyle habits may lead to suboptimal treatment outcomes.
The first part is lifestyle adjustments. It involves cultivating healthy habits, such as quitting smoking and alcohol, eating less spicy or irritating foods, and consuming more fruits and vegetables. Avoid staying up late, exercise regularly, drink plenty of water, and do not hold urine for too long to maintain urinary tract health. Engage in appropriate and regular sexual activity.
The second part is psychological factor adjustments. Do not become overly anxious, and avoid excessive psychological stress. Maintain a relaxed mindset.
The third part is. For premature ejaculation, one can try delayed-action condoms or medications such as Priligy (Dapoxetine) or Cialis (Tadalafil), which have an efficacy rate of over 90%. The primary role of this medication is to enhance confidence. Surgical treatment is not recommended.
Penile dorsal nerve block surgery is not recommended in reputable hospitals because surgical treatment can easily lead to complications such as erectile dysfunction, pain, or numbness. Additionally, the effectiveness of surgical treatment is uncertain, so it is not recommended.

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