Patient's question:
For primary premature ejaculation, drug treatment is recommended, such as Virility and Sertraline, but all doctors cannot give an accurate cure time, or to say that drug treatment can completely cure it, surgery has high risks, and the effectiveness is uncertain!Doctor's answer:
For primary premature ejaculation, there are many influencing factors, such as psychology, environment, partner's mood, excessive sensitivity of the glans, prostatitis, and self-control ability, all of which can affect it. Personal willingness is also a factor that influences the evaluation of treatment effectiveness and standards, so it's difficult to say when it's cured. Currently, medication remains the primary treatment method. Virility is the only potent SSRI approved for premature ejaculation treatment in China, with clear multi-center application effectiveness. It's worth trying. Additionally, sexual activity should be conducted in a quiet and suitable environment, use a condom to reduce glans sensitivity, or apply the stop-start technique during intercourse—stopping thrusting or withdrawing the penis when ejaculation is imminent to reduce stimulation, then resuming stimulation after the urge subsides. Repeat this process multiple times to gradually increase the ejaculation stimulation threshold. Alternatively, masturbation before intercourse can be used to reduce glans sensitivity, extending the refractory period and ejaculation latency, which may have a good therapeutic effect on premature ejaculation. Approach it with a calm mindset, let nature take its course, cultivate healthy lifestyle habits, exercise more, avoid spicy foods, alcohol, and prolonged sitting, which are beneficial for treatment. At least regarding surgery, Chinese guidelines have clearly stated that the risks far outweigh the benefits, so it's recommended to use caution and generally not advocate for surgery.