Patient's question:
I am 22 years old this year and have been suffering from premature ejaculation. Last year, I had a circumcision, but it is still premature ejaculation now. The duration is about one minute.Doctor's answer:
Erectile dysfunction, premature ejaculation, and other sexual function disorders often cause patients mental distress, may even lead to family discord, and directly impact physical and mental health as well as work performance. Currently, there are differing views on the etiology of this condition, and the causative factors are relatively complex. Modern medicine generally believes it is related to endocrine disorders. For example, conditions such as excessively high adrenal cortex hormones, reduced 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 kidneys, liver, and Yangming meridians, with the kidneys being the primary focus. Kidney yin or yang deficiency is considered the main cause of the condition. The kidneys store primordial yin and primordial yang, and neither should be depleted. Maintaining balance helps sustain normal physiological functions. Any depletion can lead 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 a decline in mingmen (life gate) fire and a deficiency of essence and yang; or it may result from excessive worry and depression, damaging the heart and spleen; or fear may injure the kidneys. It can also be caused by damp-heat accumulation leading to relaxation of the zongjin (sinews and tendons) and subsequent dysfunction. However, the primary cause is kidney yang deficiency. Kidney yang is the root of the body's yang energy, 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 becomes dysfunctional. This results in symptoms such as aversion to cold, limb coldness, reduced sexual function, and thus, male erectile dysfunction with inability to achieve or maintain an erection, accompanied by dizziness, blurred vision, soreness in the lower back and legs, palpitations, insomnia, pale complexion, and fatigue.
It is recommended that you take Jianyang Pian, a specialized treatment for erectile dysfunction and premature ejaculation caused by masturbation. Generally, two courses of medication are sufficient for recovery. Surgical treatment is not recommended.