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 very difficult to get erect 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, before the penis has entered the vagina, during insertion, or immediately after insertion without withdrawal. Primary premature ejaculation is characterized by a history of consistently lasting less than two minutes from the start of regular sexual activity, fewer than 20 continuous vaginal thrusts, and a female satisfaction rate below 50%, while other aspects of physical health remain unaffected.Men with premature ejaculation can also be categorized into primary and secondary types based on their history of satisfying sexual experiences. Premature ejaculation that occurs during the first sexual encounter is termed primary premature ejaculation.
According to your description, your premature ejaculation is likely related to your drinking and smoking habits, as well as your frequent masturbation history before having a girlfriend. Essentially, the causes of your premature ejaculation are primarily linked to your personal circumstances. For specific treatment, it is recommended to undergo a comprehensive examination at a reputable hospital. Wishing you better health.