Where can I get the quickest treatment for premature ejaculation?

In order to delay the ejaculation crisis, most patients change their logical thinking to other aspects during sexual intercourse, such as diet, going out to play, etc., in an attempt to slow down the ejaculation crisis, or use condoms, drink alcohol, etc., but the actual effect is not good, and on the contrary, it often causes low libido, sexual sensation obstruction, and even erectile dysfunction, which aggravates the condition. Therefore, the treatment of premature ejaculation should be based on the cause of the disease and choose the appropriate treatment method.

1. Psychotherapy

The couple needs to cooperate with each other, especially the wife's participation in the treatment is crucial. Psychological therapy for premature ejaculation requires the cooperation of the patient's wife. Because of women's misunderstanding or complaints, men's anxiety and anxiety will increase, increasing the psychological burden. Women need to maintain an accommodating and caring attitude, provide verbal and personal comfort, reduce men's anxiety and psychological state, and help them build confidence in recovery. The couple should be told that premature ejaculation is a relatively common problem. The couple needs to understand the necessity and possibility of restoring the conditions for men's ejaculation, eliminate the patient's anxiety, restlessness, guilt and other abnormal psychological states, and build confidence in the recovery of the disease. As long as both parties cooperate in the treatment, they can still recover.

2. Specific guidance on personal behavior

The purpose of the sex-focused training therapy is to teach patients to feel and enjoy sexual pleasure and get rid of psychological barriers through tactile stimulation such as hugging, caressing, and massage. You can also stretch the scrotum and testicles before reaching the climax, or use the thumb and index finger to squeeze the glans penis to reduce sexual impulses, and the penis hardness can also be reduced by 10% to 25%. After long-term training, you can have sex with the woman on top and the man on the bottom. You can still choose to repeat the training of twitching-stopping-twitching again, slowly improve the stimulation of the ejaculation valve, and then achieve a more satisfactory control of human factors before ejaculation.

(1) Semans technique training is an intermittent and initial treatment method. The woman stimulates the penis until the man is about to ejaculate, and the man is prompted to stop stimulation immediately. After the man feels that the ejaculation has completely subsided, stimulation will resume. This is repeated until the man can accept a lot of stimulation, and then the man is allowed to ejaculate. This method can increase the ejaculation threshold. After successful treatment, insist on carrying out zone planning training once a week.

(2) The squeeze method of the male genital head is also known as tolerance training. When the woman stimulates the penis until she senses that the man is about to ejaculate, she places the tip of her thumb on the frenulum of the glans penis, and the tip of her index and middle fingers just below the edge of the coronal groove on the other side of the male genitals. She applies pressure backwards to the extent that the man can bear it, for about 3 to 4 seconds each time. This can reduce the man's sense of crisis about ejaculation. If the treatment is persisted for 3 to 6 months, long-term and stable effects can be achieved.

3. Oral medication

At present, the main medications for treatment are 5-hydroxytryptamine reuptake buffers such as sertraline and paroxetine; tricyclic antidepressants such as clomipramine and fluoxetine, etc. However, these drugs have certain side effects and must be taken under the specific guidance of a doctor.

In recent years, the use of selective 5-5-hydroxytryptamine reabsorption retarders such as dapoxetine has achieved good results.

4. Partial medication

The key is local anesthetics, which can be applied to the glans penis before sexual intercourse to reduce the male ejaculation crisis period through the effect of local anesthesia. Topical medicines such as 1% dyclonine aqueous solution, 1% tetracaine aqueous solution, 2% lidocaine gel, 3% ethyl hydroxybenzoate, etc. After applying local anesthetics, condoms can be used or not. If condoms are not needed, clean the residual medicine on the glans penis. It should be noted that too long anesthesia time (30-45 minutes) can cause the erection to disappear, because too long anesthesia time will make the male genitals feel numb in a large number of people. If the residual medicine on the glans penis is not completely cleaned before the couple has sex (without condoms), the spread of the male genital local anesthetic residues can also cause numbness of the female vaginal wall and reduce sexual sensation. If the patient or sexual partner is allergic to local anesthetics, this treatment method should be avoided.