Patient's question:
Single, have been sexually active for three or four years, but not very frequently, but also not infrequently. Always use condoms during sex, but still ejaculate very quickly, usually within ten to twenty seconds, with only a few instances lasting two to three minutes or longer. The foreskin is slightly long but does not fully cover the glans. Used to have a history of masturbation for a few years, but not frequently.Doctor's answer:
Mainly, premature ejaculation is caused by excessive sensitivity of the glans. Measures can be taken to reduce the sensitivity of the glans. If there is excessive foreskin, circumcision can be performed to fully expose the glans. The skin will gradually become less sensitive with friction over time.Additionally, manual stimulation can reduce sensitivity. Masturbate by yourself or with your partner's assistance, stop when you are close to climax, wait until the sensation fades, and then continue. Repeat this two to three times before ejaculation. With consistent treatment for about three months, the duration of time is generally extended.
The second method is to apply topical anesthetic to the glans, such as lidocaine cream. Apply the anesthetic about 30 minutes before sexual activity and clean the glans before intercourse.
The third method is to use a condom. Masturbate to ejaculation first, then engage in intercourse to extend the duration.