Patient's question:
Since the first time until now, it has taken over a minute. Those who drive now have the habit of masturbation, and they can achieve ejaculation in two or three minutes by stimulating the penis with their hands. Wearing a condom doesn't help. It's hard to distract attention and control it. Please guide me, skilled doctors. I'm only 25 years old now, and I'm really starting to feel overwhelmed by this pressure.Doctor's answer:
Hello, for patients with primary premature ejaculation, the sensitivity of the glans penis is much higher than that of normal individuals. The excitability of the sensory nerves is increased, the latency period of ejaculation and the reflex arc of ejaculation are shorter, and the threshold of ejaculation stimulation is lower. Therefore, it is easy to induce premature ejaculation during sexual activity. So, how is primary premature ejaculation treated? There are several methods for treating primary premature ejaculation, such as massage before bedtime, pressing acupoints like Guanyinquan and Zhongji, and methods like perineal massage and traction. These methods can achieve certain therapeutic effects and are more effective with the cooperation of the partner. However, some experts believe that the cooperation of the female partner may exacerbate primary premature ejaculation. Currently, the medical community has not reached a conclusion.The latest surgical method for treating primary premature ejaculation is called the distal partial resection of the penile dorsal nerve. Despite the long name of the surgery, it is actually quite simple. Traditional methods for treating premature ejaculation often use sensate focus training, which requires long-term cooperation from the partner and has uncertain efficacy, making it difficult to complete the treatment cycle. Oral antidepressants for treating premature ejaculation have an efficacy rate of about 50% but have significant side effects. Local medication makes it difficult to control the dosage, often leading to sexual or erectile dysfunction. Penile implant surgery is expensive, so currently, there is no very effective method for primary premature ejaculation. This surgical technique is performed under local anesthesia, making a 1 cm to 2 cm horizontal incision on the coronal sulcus of the penile back, stripping the fascia to expose the radially distributed penile dorsal nerves. Except for the central nerve branches, the number of distal nerve roots to be resected is determined based on the distribution of the penile nerves to partially reduce their sensitivity. The incision is then sutured, and recovery can be achieved within 1 week, with sexual activity possible after 20 days. Currently, the sexual activity time of patients before surgery is all less than 1 minute. Postoperative observations show that the shortest sexual activity time is 6 minutes, the longest is 30 minutes, and the average is 16 minutes. Artistic processing export.