Patient's question:
Unmarried, had sexual activity for three or four years, but it wasn't very frequent, nor was it very rare. Every time we had sex, we used a condom, but I still ejaculated extremely quickly, usually within ten to twenty seconds. Only on rare occasions did it last two or three minutes or longer. My foreskin is slightly long, but it doesn't fully cover the head of my penis. I used to have a history of masturbation for a few years, but it wasn't frequent.Doctor's answer:
Mainly, it is caused by excessive sensitivity of the glans, leading to premature ejaculation. 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 oneself or with a partner's assistance, stop when 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 ejaculation is generally prolonged.
The second method is to apply topical anesthetic to the glans, such as lidocaine cream or ointment. Apply the anesthetic half an hour before sexual activity and clean the glans before intercourse.
The third method is to use a condom. Masturbate until ejaculation, then engage in intercourse to extend the duration.