Patient's question:
I'm not married yet, but I have had sexual relations with my girlfriend. However, I can't last more than a few minutes each time. Sometimes, I only insert it once or twice before I ejaculate.Doctor's answer:
Hello, based on your condition, the following considerations are recommended:There is a high possibility of prostatitis, as over 40% of men suffer from varying degrees of this condition. Your current symptoms, such as leukorrhea and urinary issues, are likely caused by it. Additionally, there is a deficiency of the kidneys according to Traditional Chinese Medicine, specifically a deficiency of both Yin and Yang, with Yang deficiency being more pronounced.
Recommendations:
1. Seek medical attention at a reputable hospital with a urology specialty to undergo a prostatic fluid examination. This will help clarify the cause and diagnosis, enabling targeted treatment. A comprehensive three-dimensional approach is recommended, with a treatment duration of approximately 3 months. Combined medication is often necessary due to mixed infections being common.
2. Quit smoking and alcohol, reduce consumption of spicy and foods, drink more water, avoid overexertion and prolonged sitting, and maintain a moderate frequency of sexual activity (about 2 times per week). Avoid complete abstinence.
3. Consider taking traditional Chinese medicine such as Liuwei Dihuang Wan (), Buzhong Yiqi Wan (), Jinkui Shenqi Wan (), and Shiquan Dabu Wan (), as well as Qianliekang () for regulation.
4. It is not necessary to undergo invasive or ablation treatments, as these are often expensive and may exaggerate efficacy. The principle behind such treatments is physical therapy. At-home sitz baths and perineal hot compresses can also provide certain therapeutic benefits.
5. Exercise caution with local injection therapy for the prostate, as it may lead to atrophy of the prostate, further impairing its function.
I hope this is helpful to you. Wishing you a speedy recovery.