Patient's question:
Hello doctor, how is the treatment for impotence and premature ejaculation? What kind of food can help improve it??Doctor's answer:
Analysis of the condition: Hello, it is a pleasure to help you solve the problem. Based on your description, the following recommendations are provided:1. Hyperprolactinemia: Dopamine-enhancing agents, psychological counseling, sex education as the primary approach, supplemented with medication.
2. Sexual dysfunction: Gonadotropin and thyroid hormone treatment.
3. Sex hormone: Suitable for hypogonadism-related impotence, testosterone propionate.
Recommendations:
(1) Stop-and-start method: Premature ejaculation fundamentally stems from an excessively low threshold for the ejaculation reflex. Treatment involves raising the ejaculation threshold and increasing a man's tolerance to sexual stimulation. Men can learn to control timing through masturbation. The partner can also assist by stroking the penis to achieve erection, then having the man lie down while she sits beside him or between his legs to facilitate easy stimulation. Once the man feels the urge for orgasm, the stimulation should be immediately stopped. Once the urge completely subsides, the massage should be resumed. Repeating this process three or more times can raise the ejaculation threshold. With long-term training, the penis can adapt to the motion within the vagina, thereby increasing the ejaculation threshold.
(2) Penile head squeeze therapy: For some severe premature ejaculation cases, even after various treatments, the patient may still have psychological burdens and lack confidence. The penile head squeeze method can be used: the female places her thumb at the frenulum, with her index and middle fingers on either side of the corona. Squeeze and press the penile head for 3–4 seconds, then suddenly release the pressure, applying the force from front to back without pressing sideways.
(3) Sedatives: Librium 20 mg orally 30 minutes before intercourse, plus 10 mg of oryzanol orally three times daily.