Patient's question:
Today is the fourth time I had sex with my girlfriend, but I ejaculated after only a few thrusts. Is that normal?Doctor's answer:
The occurrence of premature ejaculation is mostly related to psychological factors. Tension, fear, and anxiety during sexual activity are the main causes, which often stem from early excessive masturbation. When young adults engage in rapid masturbation without a sexual partner and then experience regret and guilt afterward, the psychological fear can lead to premature ejaculation after marriage. If the wife cannot forgive and instead scolds her husband for his perceived inadequacies, it can exacerbate the condition. Constant ridicule and insults from the wife may also trigger situational premature ejaculation. Therefore, the wife's attitude has a significant impact on the treatment of premature ejaculation in men.On the night of a wedding, some individuals may experience premature ejaculation due to excessive tension. This type of premature ejaculation often results from overexertion in preparing for the wedding, combined with a period of abstinence before marriage, or the reunion of a long-separated couple. Such cases of premature ejaculation may improve with rest and relaxation, sometimes resolving on their own. Early sexual experiences, extramarital sex driven by fear of discovery, and hasty actions that become habitual are also causes of premature ejaculation. Poor living conditions, such as living in a multi-generational household or dealing with a lactating partner who lacks sexual desire and fails to achieve climax, may also lead to premature ejaculation if the man feels pressured to act quickly.
Since premature ejaculation is often caused by rapid masturbation, it can also be treated by the same method. When nearing ejaculation, stop masturbation immediately, divert attention to prevent orgasm, and repeat this practice multiple times to gradually extend the duration of masturbation. If ejaculation occurs only after more than 15 minutes, this helps control sexual desire and ejaculation, providing some relief from premature ejaculation.
Sexual activity is a mutual effort between partners. The wife can also stimulate the penis to achieve erection, then stop the stimulation before ejaculation, allowing the man's sexual desire to gradually diminish. Repeating this process three or four times before allowing ejaculation can help raise the threshold of sensitivity in the male reproductive organ, thereby fostering habits of prolonging or delaying ejaculation.
For positional correction, the woman can assume a dominant position during intercourse. When the man is about to ejaculate, she can withdraw from the penis and use techniques such as squeezing the glans or pulling the scrotum to slightly reduce arousal before resuming intercourse. This not only prolongs ejaculation but also treats premature ejaculation, allowing both partners to achieve climax together.
In treating premature ejaculation, both partners must cooperate. The wife should avoid blaming her husband and should actively assist and train him. Men can also apply 1% Darvon cold cream or procaine ointment to the glans to reduce stimulation during sexual activity.
Dietary treatment for premature ejaculation, according to traditional Chinese medicine, is based on the belief that it is caused by excessive indulgence and excessive sexual activity, leading to damage to vital essence and a decline in the "Mingmen" (life gate). The treatment principles are twofold: restraining sexual desire and nourishing the kidneys and essence. Dietary therapy for premature ejaculation has unique effects. In daily meals, it is advisable to include medicinal dishes that warm the kidneys and boost yang, ensuring the fullness of kidney essence. Foods that strengthen yang and replenish essence, such as chives, walnuts, honey, royal jelly, dog meat, lamb, sheep kidneys, dog kidneys, venison, deer antlers, ox antlers, and external kidneys of pigs and sheep, should be consumed regularly. Additionally, ensure adequate intake of vegetables and fruits to meet vitamin needs, especially vitamin B1, which maintains the balance between nervous system excitation and inhibition. Avoid excessive alcohol consumption and ensure sufficient sleep.
The following medicinal dishes have unique functions in preventing and treating premature ejaculation and can be selected for consumption.