Patient's question:
I have a history of frequent masturbation and used to smoke and drink. I started dating a girlfriend last year, and it has been two years so far. From the beginning until now, every time we had sex, it never lasted more than 5 minutes. It was difficult to get hard again afterward. Sometimes it worked, but only for about two minutes. Recently, I just broke up with my girlfriend.Doctor's answer:
Premature ejaculation refers to the condition where a man experiences ejaculation before or shortly after penetration, even before the penis is fully inserted into the vagina or shortly after insertion without full thrusting. Primary premature ejaculation is characterized by a history of consistently less than two minutes of sexual activity from the start of regular sexual life, fewer than 20 consecutive vaginal thrusts, and a female satisfaction rate below 50%, while other aspects of the male's physical health remain unaffected.The classification of premature ejaculation in men can also be divided into primary and secondary premature ejaculation based on whether there has been a history of satisfying sexual experiences. Premature ejaculation that occurs during the first sexual encounter is termed primary premature ejaculation.
According to what you mentioned, your premature ejaculation is likely related to your drinking and smoking habits. Additionally, since you had a frequent history of masturbation before you started dating, the cause of your premature ejaculation is mostly related to your own physical condition. For specific treatment, it is recommended to undergo a comprehensive examination at a formal hospital. Wishing you better health.