Patient's question:
Premature ejaculation is divided into primary premature ejaculation and secondary premature ejaculation. The difference between the two is whether it appears from the first sexual experience. Generally, ejaculation within 2 minutes can be diagnosed as premature ejaculation. Clinically, ejaculation before the penis enters the vagina is diagnosed as premature ejaculation.Doctor's answer:
Erectile dysfunction, premature ejaculation, and other sexual performance disorders often cause patients mental distress, even leading to family discord, directly impacting physical and mental health as well as work. Currently, there is no consensus on the causes of this condition, which are relatively complex. Modern medicine generally believes it is related to endocrine disorders. For example, conditions such as excessive adrenal cortex hormones, declining male reproductive function, insufficient gonadotropin levels, and neurasthenia can lead to erectile dysfunction. It is also closely related to psychological factors.In traditional Chinese medicine theory, this condition is often associated with the Kidney, Liver, and Yangming meridians, with the Kidney meridian being the primary focus. Kidney Yin or Yang deficiency is the main cause of the condition. The Kidney stores primal Yin and primal Yang, and neither should be depleted; instead, they should be preserved. Preservation maintains physiological balance. Any depletion leads to various pathological changes. Kidney disorders primarily include Kidney Yang deficiency, Kidney essence deficiency, and Kidney Qi deficiency. The occurrence of male erectile dysfunction is often due to excessive indulgence in sexual activity or early masturbation, leading to declining life gate fire and cold deficiency in essence and Qi; or excessive worry and depression, damaging the Heart and Spleen; or fear damaging the Kidneys. It can also be caused by damp-heat accumulation leading to relaxation of the sinews and resulting in dysfunction. However, the main cause is Kidney Yang deficiency. Kidney Yang is the root of the body's Yang Qi, responsible for warming the body, transforming fluids, and promoting reproduction and development. When Kidney Yang is deficient, its warming function is impaired, and Qi transformation is disrupted. This results in symptoms such as aversion to cold, limb coldness, and reduced sexual function. Consequently, men may experience erectile dysfunction, such as inability to achieve or maintain an erection, accompanied by dizziness, blurred vision, sore waist and legs, palpitations, insomnia, pale complexion, and fatigue.
It is recommended that you take Jianyang tablets, a specialized treatment for erectile dysfunction and premature ejaculation caused by masturbation. Generally, two courses of medication can lead to recovery. Surgical treatment is not advised.