How to treat premature ejaculation? Men, please read this

Premature ejaculation is a very common male sexual dysfunction disease nowadays. Generally, during sexual intercourse, patients with premature ejaculation often cannot control ejaculation, which leads to a significant shortening of sexual intercourse time and a sense of dissatisfaction for their sexual partners. So how to treat premature ejaculation?

1. Correctly understand premature ejaculation

The essence of premature ejaculation is poor ability to control ejaculation. Every man's ability to control ejaculation is different, and there are innate differences. People with poor ability to control ejaculation are prone to premature ejaculation. Premature ejaculation is related to factors such as too little sexual experience, lack of sexual skills, mental tension and anxiety, fatigue and staying up late.

Prostatitis and other genital gland inflammations have no causal relationship with premature ejaculation. Simply treating prostatitis cannot cure premature ejaculation.

There is no causal relationship between foreskin being too long and premature ejaculation, and circumcision is not necessary to treat premature ejaculation.

Currently, there is no effective surgery for the treatment of premature ejaculation. Domestic and foreign guidelines for the diagnosis and treatment of premature ejaculation do not recommend circumcision and dorsal penile nerve resection. The efficacy of these surgeries in the treatment of premature ejaculation is uncertain, and they are prone to cause complications such as impotence, which is not worth the loss. It is recommended that the majority of premature ejaculation patients do not listen to advertisements and go to private clinics or private andrology hospitals for surgery to treat premature ejaculation, so as not to be deceived.

2. Drug treatment for premature ejaculation

Currently, the drugs commonly used to treat premature ejaculation are divided into two categories: oral drugs and topical drugs.

1. Oral medications mainly include: selective serotonin reuptake inhibitors (SSRIs), such as Priligy (dapoxetine hydrochloride), Zoloft (sertraline), Prozac, Seroxat, etc.; Chinese patent medicines in traditional Chinese medicine; these drugs all help to enhance the brain's ability to control ejaculation. However, it should be noted that it is best not to drive or other driving work after taking oral selective serotonin reuptake inhibitors (SSRIs).

2. Topical drugs are mainly local anesthetics such as lidocaine gel, which are effective in treating premature ejaculation caused by excessive sensitivity of the penis, and have no obvious side effects. Usage: After the penis is erect, apply a small amount of local anesthetic on the surface of the penis, and then perform foreplay such as kissing, caressing and flirting with the female partner. After applying the drug for 10 to 30 minutes, put on a condom and insert it into the female's vagina for sexual intercourse; if you do not use a condom, you can wipe off the drug on the surface of the penis with a wet towel before sexual intercourse to prevent the anesthetic from causing numbness of the female's vaginal wall and reducing sexual pleasure.

3. Sexual skills training

Sexual skills training is essential for the treatment of premature ejaculation. Premature ejaculation is a behavioral habit. Patients with premature ejaculation need to repeatedly practice intravaginal intercourse under the guidance of andrologists to continuously increase experience and improve skills, so as to become proficient in controlling sexual excitement and ejaculation impulses. Sexual skills training requires long-term close cooperation from the female sexual partner. Commonly used sexual skills training is as follows:

After the man inserts his penis into the woman's vagina, he uses a relatively slow thrusting speed. When he feels the urge to ejaculate, he stops thrusting and takes the following measures: ① The "stop-move-stop" technique, where the man shifts his attention and thinks about something unrelated to sexual intercourse or chats with the woman. He continues sexual intercourse after the urge to ejaculate disappears completely; ② Pull the penis out of the vagina and change the sexual intercourse position to man on top, woman on top, man on bottom, woman in front, man in back, etc. The positions can be used alternately; ③ Pull the penis out of the vagina, the woman puts her thumb on the frenulum of the penis, and her index and middle fingers on the back of the penis, "squeezing" the glans of the penis for a few seconds, and then continues sexual intercourse after the man's urgency to ejaculate disappears; the man should focus on the feeling of the penis, and the pressure used for squeezing should be proportional to the degree of penis erection. If the penis is hard, squeeze it hard, and if the penis is soft, squeeze it with medium force. ④ The woman pulls the scrotum and testicles to reduce the man's sexual excitement and delay ejaculation.